The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 943.—Puerperal Uterus, Three Hours Post Partum, the Site of Streptococcus Endometritis.— {Sellheim.) Whenever an unevacuated uterus leads to the development of putrid endome-tritis, a pyogenic infection is readily grafted upon the initial trouble. If strepto-cocci are present at the outset, as acting saprophytes, they may be roused PkKxntaUitebladder ^ ( Vc^?tae / ?/ v^v /^ £ji; -Ts-ff^ PostCerv-^P- Perineum Anus /^/nt5p/ii7iaer£€terAni. /ouc/io/D
The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 943.—Puerperal Uterus, Three Hours Post Partum, the Site of Streptococcus Endometritis.— {Sellheim.) Whenever an unevacuated uterus leads to the development of putrid endome-tritis, a pyogenic infection is readily grafted upon the initial trouble. If strepto-cocci are present at the outset, as acting saprophytes, they may be roused PkKxntaUitebladder ^ ( Vc^?tae / ?/ v^v /^ £ji; -Ts-ff^ PostCerv-^P- Perineum Anus /^/nt5p/ii7iaer£€terAni. /ouc/io/Dou^las ~ Fig. 944.—Sagittal Section of a Puerperal Uterus Three Hours Post Partum withStreptococcus Endometritis. Same case as Fig. 943.—{Sellheim.) to the virulent or infectious state through rapid multiplication in the presenceof the necrotic tissue. From another point of view the presence of a putridendometritis causes a lowering of the local resisting power, an impairment of MORBID CONDITIONS ORIGINATING IN THE PUERPERIUM. 725 the regenerative faculty of the endometrium, and a depreciation of the bacteri-cidal power of the lochia. Under these circumstances streptococci, howeverintroduced into the uterus, are able to flourish and exert their perniciousinfluence. We have already seen that putrid endometritis need not always be theprimary lesion; for the diphtheroid membrane which results from pyogenicinfection of the endometrium constitutes necrotic tissue upon which saprophytesare able to feed and increase
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1
