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

J. Ikin
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引用次数: 0

摘要

一种由以前的腹膜炎(一种经常发生的肠梗阻)引起的疾病,不幸的是,在死后的检查中,他们的所有预期都被过于有力地证实了,因为观察到强有力的绳索,这些绳索在肠道中不止一个点。没有什么能抵挡住这些索状和纤维状的炎性淋巴;脊柱本身会被它们弯曲;在某些胸膜炎病例中,胸部会收缩;而在腹膜中(根据艾迪生医生的经验,只有特发性腹膜炎是我们最罕见的疾病之一),由于这些积液的叠加,致命的肠梗阻将是最常见的。艾迪生医生,在大多数顽固性肠梗阻的病例中,提倡把它们当作绞窄性疝气来治疗。强力催泻剂、液体水银等,即使不是完全禁止,也应极为谨慎地使用。事实上,当这类病例在医院接受治疗时,相反的治疗方法最有可能治愈。肠道上部或梗阻部分大多处于刺激状态,如果不是活动性充血,则是由于先前不断的泻剂泛滥。在这种情况下,艾迪生医生开了一种温和的便宜药,在某种程度上符合常规;但他认为鸦片、氯仿、腹部填充物、温水灌肠;偶尔出血,可能会缓解症状。在目前的情况下,虽然现在没有什么结果,但如果尝试过阿摩斯特的方法,或者把奥贝妮的管子拿去用,那就几乎可以肯定地预测出一个更好的机会。Addison博士通过直接实验发现,在正常健康情况下,位于肠道髂囊的瓣膜是一个真正的瓣膜;但在这种情况下,以及其他类似的情况下,阀门被巨大的力所克服;然而,如果你松开阀门,粪便的呕吐就会停止。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.
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