A textbook of obstetrics . ce, butthe writer has had six rases under his charge in which thediagnosis was established by abdominal section. 696 PATHOLOGY OF THE PUERPERIUM. The Morbid Anatomy and Clinical History, the Diagnosisand Treatment of the Different Forms of Infection and SepticInflammation of the Genital Region After Labor.—The mani-festations of puerperal sepsis differ with the various infectingbacteria that are lodged in the genital tract or have invaded thesystem, but especially with the organs or structures that areinvolved in the septic inflammation. The terms, therefore,puerpera
A textbook of obstetrics . ce, butthe writer has had six rases under his charge in which thediagnosis was established by abdominal section. 696 PATHOLOGY OF THE PUERPERIUM. The Morbid Anatomy and Clinical History, the Diagnosisand Treatment of the Different Forms of Infection and SepticInflammation of the Genital Region After Labor.—The mani-festations of puerperal sepsis differ with the various infectingbacteria that are lodged in the genital tract or have invaded thesystem, but especially with the organs or structures that areinvolved in the septic inflammation. The terms, therefore,puerperal infection, puerperal sepsis, or puerperal generic in significance and include in effect a number of dis-tinct diseases, widely different in their symptoms, their prognosis,and their requirements for treatment. The lesions of puerperalsepsis may be found in the mucous membrane of the genitaliafrom the vulva to the abdominal orifices of the tubes, in themucous membrane of the bowel and of the urinary tract, the. Fig. 495.—Streptococcus and staphylococcus infection of the endometrium : <,Necrotic layer of the endometrium; b, zone of inflammatory reaction; c, glandspaces; </, blood-vessels; e, remnants of glandular epithelium I Bumm). parenchyma of the uterus, the pelvic connective tissue, the peri-toneum, the lymphatics, the veins, and in the parenchyma ofthe ovaries. Neighboring organs and tissues may be involvedsecondarily,as the bowels, ureters, and pelvic nerves, and tumorsof the pelvis and abdomen, if they exist, may be the starting-point of septic infection and inflammation. Encolpitis, Endometritis, and Salpingitis.—These inflamma-tions arc- most often of the superficial suppurative variety, inwhich the prognosis is good, except in the ease of the tubes,whence the inflammation may extend to the peritoneum, causingdiffuse peritonitis or a circumscribed abscess near the fimbriatedextremities, usually involving the ovary, or a pyosalpinx. The diphtheric
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
