Treatise on gynaecology : medical and surgical . ainty of septicperitonitis. It is well to remem-ber that the iDulse has a greaterdiagnostic value than the temi^er-ature. In fact, in surgical inflam-mations of the peritoneum thetemperature is often death the vomiting (at leastat first) becomes almost incessant;the patient dies without great suf-fering, but with a little sub-delir-ium. Olshausen ^^ long ago point-ed out the sex^tic nature of thesesymptoms. Peritonitis is rathera result than a cause of septi-caemia. At the autopsy, besidesmeteorism, we find only a littleturbid s
Treatise on gynaecology : medical and surgical . ainty of septicperitonitis. It is well to remem-ber that the iDulse has a greaterdiagnostic value than the temi^er-ature. In fact, in surgical inflam-mations of the peritoneum thetemperature is often death the vomiting (at leastat first) becomes almost incessant;the patient dies without great suf-fering, but with a little sub-delir-ium. Olshausen ^^ long ago point-ed out the sex^tic nature of thesesymptoms. Peritonitis is rathera result than a cause of septi-caemia. At the autopsy, besidesmeteorism, we find only a littleturbid serum in the pelvis. Ols-hausen*^ attaches great import-ance to paralysis of the intestines, and the absorption of the toxicsubstances which they contain. Verchere,^^ as well as Sanger,^ fur-ther developed this theory. We must be careful not to mistakethis group of symptoms for intestinal obstruction, which it oftensimulates. It is probably true toxaemia caused by leucomaines andptomaines originating either from the fluids in the abdomen or from. Fig. Refrigerating Coil. 166 CLII^ICAL AND OPERATIVE GYI^^COLOGY. the gas and imprisoned matter in the paralyzed intestine. As to thestarting-point of septic peritonitis, it has been said to be caused bythe cessation of peristalsis due to exposure to the air, either fromdirect action of the air upon the muscular fibre or indirectly uxDon thenerves. However that may be, one of the chief symxotoms of the onset oflieritonitis is intestinal paralysis, which is recognized not only bymeteorism, but by the absence of evacuation of gases. This intestinalparalysis, in this case the result, may at times be the cause of perito-nitis ; it is of the utmost importance to treat it at the start. On thesecond day I usually administer an enema of six teaspoonfuls ofBordeaux wine and three teaspoonfuls of glycerin, in order to pro-voke slight peristalsis; if this does not cause any evacuation of gas,I repeat it on the following day, adding o
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