The Boston medical and surgical journal . ightly rallied, though the extremitieswere still cold. Violent and frequent vomiting had protruded aportion of the omentum through the wound at the navel, whichwas with difficulty returned within the integuments, and the open-ing being then securely closed with collodion, it did not again es-cape, though the vomiting continued for some hours afterward. On visiting her the next morning at an early hour, the pulse wasfound to have gained slightly in strength, the skin had becomesomewhat warmer, and re-action was evidently taking place. Sometenderness of
The Boston medical and surgical journal . ightly rallied, though the extremitieswere still cold. Violent and frequent vomiting had protruded aportion of the omentum through the wound at the navel, whichwas with difficulty returned within the integuments, and the open-ing being then securely closed with collodion, it did not again es-cape, though the vomiting continued for some hours afterward. On visiting her the next morning at an early hour, the pulse wasfound to have gained slightly in strength, the skin had becomesomewhat warmer, and re-action was evidently taking place. Sometenderness of the abdomen existing, hot fomentations were keptconstantly applied. Deeming it of the first importance to keep the intestines in aquiescent state, repeated doses of the sulphate of morphia were2 30 Case of Impalement upon a Hay-Hook. administered for that purpose, and were successful in restrainingany natural evacuation for a period of seven days, at the expira-tion of which time it was thought safe to allow them to be movedby A. Supposed exlent of penetration. Length of portion supposed to have penetrated abdomen,eleven inches. B. Diameter across, nearly two inches. C. Five and a balf inches from point to end of hook. The patient had not, since the accident, passed any waterthrough the urethra, but the urine constantly dribbled through theruptured bladder, and discharged itself, together with what wasapparentl} faecal matter, from the small iutestincs, into one cloaca,through the vagina. From time to time narrow thread-like stripsof cellular tissue (probably from the walls of the bladder) protrud-ed through the vagina, one or two of which being found adherentat their distal extremity, were not withdrawn, but were allowedto slough off. On the fifth day from the accident, symptoms of peritoneal in-flammation made their appearance, which in spite of treatment in-creased to an alarming extent, but at the end of thirty-six hoursbegan to yield. The pulse gradually fell f
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Keywords: ., bookcentury1800, bookdec, booksubjectmedicine, booksubjectsurgery
