The Practitioner, Volumen12John Brigg, 1874 |
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Página 372 - ... worn out by irritation and pain. 10. That the chances of successful treatment, -whether by the use of bougies or by the injection of air or water, are exceedingly small, excepting in quite recent cases, and that if the surgeon does not succeed by them promptly it is not likely that he will succeed at all.
Página 346 - A purgative medicine was then injected by means of a subcutaneous syringe into the middle part, and the intestine being then returned into the abdominal cavity, the wound in the abdominal parietes was sewn up. A few hours afterwards the animal was killed, and on examination the middle portion of intestine, into which the purgative had been injected, was found full of fluid, while the portion on each side was completely empty. All three pieces having been equally empty at the commencement of the experiment,...
Página 24 - Ringer, -who also adds that it is most efficacious in the colic of children, and also in the night terrors of young children. The latter writer expresses the following opinion as to its effect in convulsive diseases : — " Although convulsions may be excited by many causes, it is probable that the conditions of the nervous centres producing the attack are in every instance identical ; and it appears to be these conditions which the bromide controls.
Página 271 - There were then no such vibrios in the secretion. If I only go out in the evening, it suffices to inject the quinine once a day, just before going. After continuing this treatment for some days the symptoms disappear completely, but if I leave off they return till towards the end of June. 'My first experiments with quinine date from the summer of 1867 ; this year (1868) I began at once as soon as the first traces of the illness appeared, and I have thus been able to stop its development completely.
Página 372 - That in many cases it is easy, by estimating the severity of the symptoms (vomiting, constipation, &c.), to form an opinion as to whether the intestine is strangulated or simply irreducible. 8. That in cases of strangulated intussusception, whilst there is great risk of speedy death, there is also some hope that gangrene may be produced and spontaneous cure result. 9. That in cases in which the intussuscepted part is incarcerated and not strangulated, there is very little hope of the occurrence of...
Página 269 - An extraordinarily violent sneezing then sets in, and a strongly corrosive thin discharge, with which much epithelium is thrown off. This increases, after a few hours, to a painful inflammation of the mucous membrane and of the outside of the nose, and excites fever with severe headache and great depression, if the patient cannot withdraw himself from the heat and the sunshine. In a cool room, however, these symptoms, vanish as quickly as they come on, and there then only remains for a few days a...
Página 373 - ... to decline the operation and trust to the use of opiates. 17. That the operation is best performed by an incision in the median line below the umbilicus. 18. That in cases of intussusception in young infants (under one year of age) the prognosis is very desperate, scarcely any recovering excepting the few in whom injection treatment is immediately successful, whilst a large majority die very quickly. 19.
Página 373 - That in cases of intussusception in young infants (under one year of age) the prognosis is very desperate, scarcely any recovering excepting the few, in whom injection treatment is immediately successful, whilst a large majority die very quickly. 19. That the fact just mentioned may be held to justify, in the case of young infants, very early resort to the operation. 20. That it is very desirable that all who, in the future, have the opportunity for post-mortem examination of intussusception cases...
Página 187 - It is merely to use strips of plaster, putting on two or three layers in the following manner: The first strip is laid on obliquely in the direction of the ribs, the second across the course of the ribs, the third in the direction of the first, about half overlapping it, the fourth the same as the second, and so on until the entire side is covered.
Página 373 - ... the presence of gangrene. 15. That in selecting cases suitable for operation, the surgeon should be guided by the severity of the symptoms to an estimate of the tightness of the strangulation, and as to the probability of gangrene already set in.