London journal of medicine最新文献_第7页

Spittal, Robert

London journal of medicine Pub Date : 1852-05-01 DOI: 10.1136/bmj.s2-4.41.496

引用次数: 0

Cause and Prevention of Death from Chloroform. 氯仿致死的原因和预防

London journal of medicine Pub Date : 1852-05-01 DOI: 10.1136/bmj.s2-4.41.415

J Snow

{"title":"Cause and Prevention of Death from Chloroform.","authors":"J Snow","doi":"10.1136/bmj.s2-4.41.415","DOIUrl":"https://doi.org/10.1136/bmj.s2-4.41.415","url":null,"abstract":"ON looking over the list previously given, it will be seen that the accidents from the administration of chloroform nearly all occurred during, or preparatory to, minor operations. The case of extirpation of the eyeball, No. 13-that of amputation of the leg, No. 17, and the removal of the testis, No. 19, are the only operations of importance in the list. None of the accidents have happened in childhood or old age; and, except the subject of amputation, case 17, and the last case in the list, none of the patients were reduced to a state of debility. The general health also of the twenty-one patients who lost their lives was probably better than the average state of it in the thousands who have inhaled chloroform without accident; for the greater number of them are stated to have been in good health, and, except Patrick Coyle, No. 4, who was suffering from phthisis, and the patient with cancer of the uterus, No. 21, it has not been recorded that any of them were effected with serious disease of any internal organ. The reason of the accidents having happened under the conditions just named is probably that in large operations-in children and old people-in those much reduced by illness or affected with organic disease, an amount of care has been taken which has not always been observed under other circumstances; for, however faulty the method of administering the chloroform may be, the exercise of attention and care very much diminishes the danger, and it cannot be denied that there has been a want of care and attention in many of the cases in which accidents have happened. In the recent trial of a medical man at Strasbourg for homicide, by imprudence and want of precaution, in causing the death of a patient by chloroform, the President of the Tribunal made some very appropriate remarks on this point. He said, \" When a patient is submitted to the action of chloroform, every attention ought to be fixed on the progress of the anesthesia, and on the state of the pulse and respiration. Instead of that you extracted several teeth without having examined the state of your patient. You acted alone, whilst men of eminence constantly procure the aid of assistants.\"1I In some of the cases all the care was certainly employed that the operator had been led to believe was necessary, and the accidents were entirely due to the faulty method of administering the chloroform. In order to show clearly the cause of the deaths which have taken place, it is necessary to give an outline of the phenomena which occurred at the time of dissolution, in the cases of which the particulars are related. In the first case, in the list previously given, about a fluid drachm of chloroform was poured on a tablecloth, and held to the nose of the patient. Dr. Meggison, the medical attendant of the","PeriodicalId":88928,"journal":{"name":"London journal of medicine","volume":"4 41","pages":"415-23"},"PeriodicalIF":0.0,"publicationDate":"1852-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.s2-4.41.415","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29257810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vascular Excrescences of the more Exposed Portions of the Mucous Membrane and Certain other Parts of the Body. 粘膜外露部分和身体某些部位的血管赘生物。

London journal of medicine Pub Date : 1852-05-01 DOI: 10.1136/bmj.s2-4.41.424

H B Norman

{"title":"Vascular Excrescences of the more Exposed Portions of the Mucous Membrane and Certain other Parts of the Body.","authors":"H B Norman","doi":"10.1136/bmj.s2-4.41.424","DOIUrl":"https://doi.org/10.1136/bmj.s2-4.41.424","url":null,"abstract":"Infimary for Diseases of the Eye, and to the St. Marylebone General Dispensary. THE various elementary textures, or tissues of the body, have been made with much propriety and practical usefulness the basis of certain general nosological divisions and classifications. Thus there have been classified under several heads the diseases of bone, of the skin, of the serous and of the mucous tissues. This system is founded upon the fact, that structures anatomically alike are liable to derangements, both of function and of organisation, exceedingly similar. And thus it happens that the natural history of the diseases of any texture is made complete only by the study of those diseases in the various positions , circumstances, and connexions, in which such texture is found. And so also of any special form of disease of a particular texture: if we wish to learn all that can be learned about it, we must search for the information we desire in the whole extent of such texture. We must not expect to find in the illustrations of a disease of any texture identityin symptoms, objective or subjective, in all situations, for in the textures themselves there are minor differences of structure or position, and the influences to which they are subject; but in the study of the analogous diseases of parts agreeing in their general characters, much light is shed by one upon the other. Not to prolong these general observations, I may at once refer to a particular form of morbid growth of a given tissue-the mucous. Amongst other morbid changes, this tissue is in an especial manner liable to become the seat of excrescences, which assume, according to various circumstances , the forms of granulations, polypi, etc. In two former papers, I have alluded to some of the more important of these growths which affect the urethra, especially, that of the female, and the urinary bladder. Now I purpose to connect these with others like them in other parts, in the hope that the consideration of all together may tend to throw some light upon each class, and that the consideration of each class may furnish some general deductions having reference to the whole. Descending from the head to the trunk, it will be found that the portions of mucous tissue forming the outlets or external termini both of the great gastro-pulmonary and of the genito-urinary divisions of the mucous membrane, …","PeriodicalId":88928,"journal":{"name":"London journal of medicine","volume":"4 41","pages":"424-31"},"PeriodicalIF":0.0,"publicationDate":"1852-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/bmj.s2-4.41.424","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29257811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bibliographical Record 书目的记录

London journal of medicine Pub Date : 1852-04-01 DOI: 10.1136/bmj.s2-4.40.345

引用次数: 0

Topics of the Day. 今日主题。

London journal of medicine Pub Date : 1852-04-01

引用次数: 0

On General Blood-letting. 一般放血。

London journal of medicine Pub Date : 1852-04-01 DOI: 10.1136/bmj.s2-4.40.310

R H Semple

引用次数: 5

Relations of Uterine to Constitutional Disorder. 子宫与体质障碍的关系。