The practice of obstetrics, designed for the use of students and practitioners of medicine . thechest are firmly contracted, there may be one or two spasmodic respirationsat the height of the paroxysm. The tongue partly protrudes and, since itis often bitten, the saliva, which is frothy, is colored with blood. There iscomplete loss of sensation and of consciousness. The duration of the tonic con-vulsions is from ten to twenty seconds, and they are followed by clonic clonic convulsions, as in the first of the attack, begin in the face, whichbecomes horribly distorted, and then extend
The practice of obstetrics, designed for the use of students and practitioners of medicine . thechest are firmly contracted, there may be one or two spasmodic respirationsat the height of the paroxysm. The tongue partly protrudes and, since itis often bitten, the saliva, which is frothy, is colored with blood. There iscomplete loss of sensation and of consciousness. The duration of the tonic con-vulsions is from ten to twenty seconds, and they are followed by clonic clonic convulsions, as in the first of the attack, begin in the face, whichbecomes horribly distorted, and then extend over the body. Irregular andnoisy respiration takes place, there are rapid opening and closing of the jaws,and the tongue may be again bitten. The patient may have to be held inbed, but generally the body retains its previous position. Eclampsia closelyfollows epilepsy in many clinical features. Thus, there are overlapping (sub-intrant) convulsions, a status convulsivus or continuous paroxysmal state (statusepilepticus, status eclampticus), and an exhaustion-paralysis or temporary loss. Fig. 470.—Segment of Liver showing TTemorrhagic Hepatitis in Eclampsia (ActualSize).—(From a specimen in the Pathological Laboratory of the Cornell University Medi-cal College.) of motor power in the convulsed muscles in both diseases. At the end of theattack full, labored, and stertorous respiration occurs. In one or two minutesfollows the stage of coma. The duration of this period is about half an and sensation are slow to return. If a favorable issue is to takeplace, the patient falls into a deep sleep, and awakes to ask confusedly whathas happened. After this stage mothers have denied their offspring born dur-ing eclampsia. Rarely there is but a single attack, and as a rule a numberoccur at varying intervals. If the seizures cannot be controlled, and deathis inevitable, there are a progressive rise of temperature to 104° F. (40° C.)or more, and a small, rapid, wiry
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
