{"title":"关于从制造业人口中征聘的人员的教育状况、丧失资格的身体原因和易患疾病的情况的说明","authors":"J. Ikin","doi":"10.1136/bmj.s3-4.206.1053","DOIUrl":null,"url":null,"abstract":"a ane cused by preious peritonitis (a frequent aoueof obstrution of the bowels)and where,Unfortunately, at the after death inspection, all teir anticipations wer but too forcbly verified, as strong cords wer obgerved, which td down the intestine at more than one point. Nothig Will withstand these cords and fibrinous bridles of inflammatory lymph; the spine itself will be bent by them; the thorax, in ome cases of pleurtis, wiU be contracted; while in the peritoneum (only that idiopathic peritonitis, in Dr. Addison's experience, is one of the rarest of our diseases) fatal obstruction of the bowels would be most frquent, as superveamg on these effusions. Dr. Addison, in the majority of oa of obstinate obstruction of the bowels, is an advocate for treating them almost like strangulated hernia. Violent dratic purgatives, fluid mercury, etc, should be used with the utmost circumspection, if not entirely forbidden. Indeed, when such cases are under care in hospital, an oppoSite line of treatment gives the best chance of cure. The upper or obstructed part of the gut is mostly in a state of irritation, if not of active hypersemia, from the incessant previous deluge of purgatives. In the present case, Dr. Addison prescribed a mild aperient in conformity in some measure to ordinary routine; but he believes that opium, chloroform, fomentations of the abdomen, enemata of warm water; and occasionally bleeding, were likely to relieve the aymptoms. In the present instance, though now somewhat unavailing, it would seem as though if Amussat's operatiou had been tried, or if O'Beirne's tube had been put in requisition, a better chance of core might have been with almost certainty predicted. The valve at the ilio-cmeal pouch of the intestinal tract, Dr. Addison finds by direct experiment is a true valve under ordinary circumstances of health; but in this case, and others similar co it, the valve is overcome by the enormrous force a tergo; yet if you relieve the valve, the vomitings of feces cease.","PeriodicalId":88830,"journal":{"name":"Association medical journal","volume":"121 1","pages":"1053 - 1055"},"PeriodicalIF":0.0000,"publicationDate":"1856-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"REMARKS ON THE STATE OF EDUCATION, THE PHYSICAL CAUSES OF DISQUALIFICATION, AND LIABILITY TO DISEASE, OF RECRUITS FROM A MANUFACTURING POPULATION\",\"authors\":\"J. Ikin\",\"doi\":\"10.1136/bmj.s3-4.206.1053\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"a ane cused by preious peritonitis (a frequent aoueof obstrution of the bowels)and where,Unfortunately, at the after death inspection, all teir anticipations wer but too forcbly verified, as strong cords wer obgerved, which td down the intestine at more than one point. Nothig Will withstand these cords and fibrinous bridles of inflammatory lymph; the spine itself will be bent by them; the thorax, in ome cases of pleurtis, wiU be contracted; while in the peritoneum (only that idiopathic peritonitis, in Dr. Addison's experience, is one of the rarest of our diseases) fatal obstruction of the bowels would be most frquent, as superveamg on these effusions. Dr. Addison, in the majority of oa of obstinate obstruction of the bowels, is an advocate for treating them almost like strangulated hernia. Violent dratic purgatives, fluid mercury, etc, should be used with the utmost circumspection, if not entirely forbidden. Indeed, when such cases are under care in hospital, an oppoSite line of treatment gives the best chance of cure. The upper or obstructed part of the gut is mostly in a state of irritation, if not of active hypersemia, from the incessant previous deluge of purgatives. In the present case, Dr. Addison prescribed a mild aperient in conformity in some measure to ordinary routine; but he believes that opium, chloroform, fomentations of the abdomen, enemata of warm water; and occasionally bleeding, were likely to relieve the aymptoms. In the present instance, though now somewhat unavailing, it would seem as though if Amussat's operatiou had been tried, or if O'Beirne's tube had been put in requisition, a better chance of core might have been with almost certainty predicted. The valve at the ilio-cmeal pouch of the intestinal tract, Dr. Addison finds by direct experiment is a true valve under ordinary circumstances of health; but in this case, and others similar co it, the valve is overcome by the enormrous force a tergo; yet if you relieve the valve, the vomitings of feces cease.\",\"PeriodicalId\":88830,\"journal\":{\"name\":\"Association medical journal\",\"volume\":\"121 1\",\"pages\":\"1053 - 1055\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1856-12-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Association medical journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1136/bmj.s3-4.206.1053\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Association medical journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/bmj.s3-4.206.1053","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
REMARKS ON THE STATE OF EDUCATION, THE PHYSICAL CAUSES OF DISQUALIFICATION, AND LIABILITY TO DISEASE, OF RECRUITS FROM A MANUFACTURING POPULATION
a ane cused by preious peritonitis (a frequent aoueof obstrution of the bowels)and where,Unfortunately, at the after death inspection, all teir anticipations wer but too forcbly verified, as strong cords wer obgerved, which td down the intestine at more than one point. Nothig Will withstand these cords and fibrinous bridles of inflammatory lymph; the spine itself will be bent by them; the thorax, in ome cases of pleurtis, wiU be contracted; while in the peritoneum (only that idiopathic peritonitis, in Dr. Addison's experience, is one of the rarest of our diseases) fatal obstruction of the bowels would be most frquent, as superveamg on these effusions. Dr. Addison, in the majority of oa of obstinate obstruction of the bowels, is an advocate for treating them almost like strangulated hernia. Violent dratic purgatives, fluid mercury, etc, should be used with the utmost circumspection, if not entirely forbidden. Indeed, when such cases are under care in hospital, an oppoSite line of treatment gives the best chance of cure. The upper or obstructed part of the gut is mostly in a state of irritation, if not of active hypersemia, from the incessant previous deluge of purgatives. In the present case, Dr. Addison prescribed a mild aperient in conformity in some measure to ordinary routine; but he believes that opium, chloroform, fomentations of the abdomen, enemata of warm water; and occasionally bleeding, were likely to relieve the aymptoms. In the present instance, though now somewhat unavailing, it would seem as though if Amussat's operatiou had been tried, or if O'Beirne's tube had been put in requisition, a better chance of core might have been with almost certainty predicted. The valve at the ilio-cmeal pouch of the intestinal tract, Dr. Addison finds by direct experiment is a true valve under ordinary circumstances of health; but in this case, and others similar co it, the valve is overcome by the enormrous force a tergo; yet if you relieve the valve, the vomitings of feces cease.