A textbook of obstetrics . »/ Fig. 498.—Clots insinuses of uterine walls(from specimen in theArmy Medical Museum, Washington, I). C). PUERPERAL SEPSIS. 703 Fig. 499.—Section through the placental site of a puerpera who died on theeighth day from embolic pneumonia (thrombotic form of infection) : a, Necrotic de-cidua, with colonies of streptococci and saprophytes; l>, thrombus in a vein openingat the placental site ; c, zone of inflammatory reaction ; d, section of a uteroplacentalartery ; e, muscular tissue ; f. continuation of the thrombus, 6, in which colonies ofstreptococci are softening
A textbook of obstetrics . »/ Fig. 498.—Clots insinuses of uterine walls(from specimen in theArmy Medical Museum, Washington, I). C). PUERPERAL SEPSIS. 703 Fig. 499.—Section through the placental site of a puerpera who died on theeighth day from embolic pneumonia (thrombotic form of infection) : a, Necrotic de-cidua, with colonies of streptococci and saprophytes; l>, thrombus in a vein openingat the placental site ; c, zone of inflammatory reaction ; d, section of a uteroplacentalartery ; e, muscular tissue ; f. continuation of the thrombus, 6, in which colonies ofstreptococci are softening and breaking down the clot (Bumm).. L Fig. 500.—Section of the endometrium in phlebitis and septic thrombosis: a Ne-crotic decidua; l>, zone of inflammatory reaction ; c, muscular tissue (Bumm . 704 /• / THL >Z OGY t )F 7 HE PL KRPERIUM. The thrombosis in a puerpera is not always limited to theveins of the uterus and of the pelvis. I have observed, for example, a fatal ease, death occurring on the seventeenth daypostpartum, preceded by convulsions and coma. It was not known whether the woman had had fever after delivery. In thepostmortem examination the longitudinal and lateral sinuses ofthe brain were found perfectly solid with thromboses. Therehad been a very severe postpartum hemorrhage, and there wereevidences in and about the womb of septic phlebitis. I rig. 501.—Softened thrombus from the placental site in a case of pyemia : a,Uterine muscle; />, vein wall infiltrated with cells, the endothelium becoming necro-tic ; c, the thrombus infiltrated with masses of streptococci and beginning to disinte-gra
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
