Case of Strangulated Hernia

J. Traill
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引用次数: 1

Abstract

Wednesday, Jan. 1, 1851.?This morning, at five o'clock, I was requested by my friend, Mr Finlay, to visit David Shuld, a seaman, aged 60, who had been brought ashore from a ship, about four hours previously, with all the Bymptoms of strangulated hernia. Mr Finlay had seen him shortly after he reached his home, and had made a persevering attempt to reduce the hernia, but without effect. The man's statement?which was rather confused?was, that for many years he had laboured under hernia, for which he had worn a truss; but that the tumour frequently came down, and was returned on several occasions with difficulty, and after having caused symptoms resembling his present attack; that on Monday forenoon (December 30), feeling costive and unwell, he had taken a dose of castor oil, which had acted three times ; that the same evening, about nine o'clock, whilst engaged in the ship's rigging, he had felt the tumour come down suddenly; that he immediately became sick, and vomited, and had been in great agony ever since. He was evidently in great pain, his pulse small and wiry, the whole surface of the body cold and damp (he had not been able to change his wet clothes for two days and nights before coming ashore); but his countenance
绞窄性疝1例
星期三,1851年1月1日今天早上五点钟,我的朋友芬利先生请我去看望戴维·舒尔德,他是一名60岁的海员,大约四小时前从船上被带上岸来,他有绞窄性疝气的所有症状。芬利先生在他回到家后不久就去看了他,并坚持不懈地试图减轻疝气,但没有效果。男人的声明?哪个比较混乱?那就是多年来他一直受疝气的折磨,为此他一直戴着一个桁架;但那肿瘤经常复发,有几次复发很困难,而且在引起了类似他现在发作的症状之后;星期一上午(12月30日),他感到便秘和不适,服了一剂蓖麻油,起了三次作用;就在那天晚上,大约九点钟的时候,他正在摆弄船上的索具,忽然感到那个肿瘤掉了下来;他就立刻病了,并且呕吐,从此极其痛苦。他显然非常痛苦,脉搏微弱而僵硬,全身又冷又湿(上岸前他已经两天两夜没能换掉湿衣服了)。但是他的面容
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