Pathology and Treatment of some Obscure Cases of Long-Continued Pain in Bone

Henry Lee
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Abstract

asisting to correct the mal-jxeticm, by IV to borrow a naufical phrase-4he head down to and into the pelvc cavity, simultaneously with the breech being uged upwards to the fundus ? In answer to both questions, with extreme deference, I not; and should another arm-presentation case ever come in my way, under suitable circumstances, I will desire to put in practice the very same course, modified only according to variety in position of the child, to be presently noticed, which I unqualfiedly believe has been succesu in this occasion. Two inquiries suggest themselves. 1. Would the same manipulations produce a like result, if the child's right arm presented, its face and admen corresponding with those of the mother, the head still resting upon, or above her re/ht ilium? In that case, I should proceed in precisely the manner described, and hope for a similar termination. 2. Would the same management be applicable, if the longtudinal poiion of the child in utero were reversed from that in te instahce related, the presentation being, then, the right or left arm, but with the head, whether occiput or sinciput, situated on, or above, the mother's lft ilium, and the breech in the direction of her right ilium? Yes: but it would be necessary that the woman should lie upon her rightside, and that the repressing force be employed by the rih hand of the accoucheur. Leeds, Sept. 10, 1852.
一些不明原因的长期持续骨痛的病理和治疗
通过静脉注射(借用一个航海术语)来帮助纠正错误的姿势——头向下进入骨盆腔,同时把臀部向上拉到骨盆底。我非常恭敬地回答这两个问题,我没有;如果在适当的情况下,我遇到了另一个举胳膊的例子,我将希望把同样的方法付诸实践,只根据孩子的不同位置进行修改,很快就会注意到,我毫无疑问地相信这一次是成功的。有两个问题浮出水面。1. 如果孩子的右臂伸出来,他的脸和胳膊与母亲的脸和胳膊一致,他的头仍然靠在或高于她的右髂骨上,那么同样的手法会产生类似的结果吗?在这种情况下,我应该按照上述的方式进行,并希望有一个类似的结局。2. 如果胎儿在子宫内的纵向位置与相关案例中的位置相反,那么表现为右臂或左臂,但头部,无论是枕部还是后坐部,位于或高于母亲的左髂骨,而臀部在其右髂骨的方向,同样的处理是否适用?是的,但那女人必须侧着身子躺着,而且必须由执业医师的右手来施加压制力。利兹(1852年9月10日)
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