外交部门

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引用次数: 0

摘要

被路易斯断言为急性伤寒和慢性肺结核的特征,我认为,不能被认为是严格的病症,因为我曾经遇到过一个致命的病例,一个只有八天大的婴儿,患有腺体溃疡和肠道穿孔。在这种情况下,胎便排出后,出现了黄疸、中耳炎和妊娠;死后又发现了腹膜炎,这是由于黄色粪便通过盲肠上方的一个阴腺穿孔渗出造成的,这个阴腺也溃烂了,其他的贝氏腺也溃烂了,在回肠上方有一段距离。Drs。格雷夫斯、沃森和科普兰对成人和儿童的病变与持续发烧没有任何区别,尽管后者,像路易斯一样,断言伤寒最常见于15至40岁之间。然而,这些作者说肯定和明确这一点,所以我冒险做出上述评论我自己的经验的结果,希望,如果他们满足Merei博士的眼睛他可能诱导有利于你的读者,在以后的演讲中,他得出的结论的病理解剖学小儿发烧,是否持续或间歇性的,从广泛的观察领域他Pesth儿童的医院。我的意思并不是说,成年人的持续发烧总是伴随着佩耶氏腺的溃疡,因为安德拉尔、沃森医生和其他人都遇到过这样的病例,没有发现这种病变,日内瓦的隆巴德医生试图区分出有这种特征的伤寒和有斑点和vibices的爱尔兰斑疹伤寒,然而,格雷夫斯医生不承认这种区分;但在婴儿持续发烧中总是发现肠溃疡,总是伴有或多或少的腹泻,表明紊乱的进展,这似乎是治疗方面最重要的证据,作为一个规则,每当其他疾病可能使儿童持续发烧的过程复杂化时,腺体炎症总是共存的,需要我们密切关注它的后果。我是,先生,您忠实的仆人,t·奥吉尔·沃德。肯辛顿(1852年8月30日)
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Foreign Department
asserted by Louis to be characteristic of typhoid fever in its acute form, and of phthisis in the chronic, cannot, I think, be considered as strictly pathognomonic, as I once met with a fatal case of ulceration of the glands and perforations of the intestines in an infant only eight dAys old. In this instance, after the meconium had been passed, there was jaundice, tympanitis, and obtipation; and after death there was found peritonitis, from effusion of yellow faeces through a perforation of an agminate gland, just above the ceecum, which was also ulcerated, as well as the other Peyerian glands, for some distance up the ileum. Neither Drs. Graves, Watson, nor Copland, make any distinction in the lesions of adults and children from continued fever, though the latter, like Louis, asserts that typhoid fever is most common between the ages of 15 and 40 years. None of these authors, however, speak decidedly and expressly upon this point, and therefore I have ventured to make the foregoing remarks as the result of my own experience, with the hope that if they meet the eye of Dr. Merei he may be induced to favour your readers, in a future lecture, with the conclusions he has drawn upon the morbid anatomy of infantile fevers, whether continued or remittent, from the extensive field of observation he has enjoyed at the Childrens' Hospital in Pesth. I do not mean to assert that continued fever in adults is always attended with ulceration of Peyer's glands, for Andral, Dr. Watson, and others, have met with cases in which no lesion of the kind could be discovered, and Dr. Lombard, of Geneva, has attempted to draw a distinction betwee the typhoid fever, thus characterised, and the Irih typhus, attended with petechim and vibices, a distinction, however, not admitted by Dr. Graves; but having invariably found ulcerton of the intestines in infantile continued fever, Which is always attended with more or less diarrhoea, indicative of the progress of the disorganization, it appears to be a most important proof in regard to treatmt, to establish as a rule, that whenever other affections may complicate the course of continued fever in children, inflammation of the glandulb agminate always co-exists, and requires our closest attention to gad against its consequences. I am, Sir, your obedient Servant, T. OGIER WARD. Kensington, August 30, 1852.
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