The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . Pulse of varying in-tensity and rhythm, about 125 beats per minute,and rather weak. The outer bandage had to beloosened, and energetic stimulation by hourlyenemata, consisting of one ounce of brandy andtwo ounces of warm vrater, were administered,till the pulse became decidedly fuller and moreregular. April 10th.—Some flatus passed spon-taneously, the meteorism diminished markedly,and the temperature fell to the normal 11th.—Patient consumed a few oystersand a
The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . Pulse of varying in-tensity and rhythm, about 125 beats per minute,and rather weak. The outer bandage had to beloosened, and energetic stimulation by hourlyenemata, consisting of one ounce of brandy andtwo ounces of warm vrater, were administered,till the pulse became decidedly fuller and moreregular. April 10th.—Some flatus passed spon-taneously, the meteorism diminished markedly,and the temperature fell to the normal 11th.—Patient consumed a few oystersand a little champagne, her nourishment hav-ing consisted until then of milk and the same date slight uterine and vesicalhfemon-hage was noted. The former may havebeen dependent upon subinvolution remaining behind after a recent miscarriage ; thevesical hseinorrliage seems to have been due to detachment of the superior and lateralvesical wall during dissection. April 13th.—A saline laxative was administered, caus-ing some nausea and vomiting with a good deal of griping, but resulting in three copi-. FiG. 117.—Dia^am of cyst of the broadligament. (Case IV.) SPECIAL APPLICATION OF THE ASEPTIC METHOD. 143 ous stools. The same day the drainage-tubes were shortened. The wound was foundhealed by adhesion except where the tubes lay. Three of the plate and shot sutureswere also removed, and two were left behind. The catgut sutures had been all ab-sorbed. April ISth.—The tubes were entirely withdrawn and remaining suturesremoved. April 20th.—The patient left tlie bed the first time. April S5th.—Thewound was entirely healed. (Fig. 117). It seems that the extensive detachment of the peritonaBum from itsnutrient vessels led to a grave disturbance of its circulation, and perhaps topartial {asejoUc) necrosis. An adhesive peritonitis of the intestinal invest-ment apposed to the denuded parietal peritoneum was set up, causingparalysis of the muscular layer of the gut wit
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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1888
