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Provincial Medical and Surgical Journal最新文献

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Foreign Department 外交部门
Pub Date : 1852-10-27 DOI: 10.2307/3403883
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引用次数: 0
Hospital Reports 医院报告
Pub Date : 1852-10-27 DOI: 10.1136/bmj.s1-16.22.558
being a general opinion, the very reverse appears to be universally implied, and to be accepted by writers as a fact of which there is no doubt. Mr. Lawrence expressly acknowledges it. He says:"Now we do occasionally find that the two diseases exist together; but this is comparatively rare." (Lancet, of March 13th, 1830, p. 810.) In the reports of the Lock Hospital, as reported in the Lancet, of October 25th, 1834, p. 189, will be found cases of syphilis and gonorrhoea coexistent in the same patient. Dr. Fenwick gives, in the Medical Gazette, a report of 943 cases. Of these, 252 were cases of simple gonorrhoea; in 170, sores existed with gonorrhoea; and in 521, sores existed alone. It has occurred to me, in looking over this paper, that the questioni of the noncoexistence of these two diseases appears never to have entered his mind. He addresses himself not to that question, but to the advantage of giving mercury when such a combination exists. The only other authority I will draw attention to is Rayer, who, when treating on syphilitic diseases of the skin, speaks of what he calls the simple venereal ulcer, the vemerola vulgaris of Evans, and the common chancre of several French pathologists. He says they are " the most common of all forms of venereal ulcer ;" "they are frequently acconipanied with blenorrhoea of the glans, with urethral gonorrhoea, and with phimosis;" and " that he has observed every variety of venereal eruption and venereal growth as consequences of these sores." But may I not appeal to the experience of every man who has had even limited opportunities of judging whether he has not repeatedly met with gonorrhoea complicated with sores, whiclh in otlher cases he should have said immediately were syphilitic, and treated as such.
作为一个普遍的意见,相反的情况似乎是普遍隐含的,并被作家们接受为一个毫无疑问的事实。劳伦斯先生明确承认了这一点。他说:“现在我们确实偶尔发现这两种疾病同时存在;但这种情况相对罕见。”(《柳叶刀》,1830年3月13日,第810页)在洛克医院的报告中,如1834年10月25日《柳叶刀》第189页所报道的,在同一病人身上发现了梅毒和淋病并存的病例。芬威克博士在《医学公报》上发表了一份943例病例的报告。其中,252例为单纯性淋病;170年,溃疡伴有淋病;在521年,溃疡是单独存在的。在我浏览这篇论文时,我突然想到,这两种疾病不能共存的问题似乎从未进入他的脑海。他并没有回答这个问题,而是谈到了在这种组合存在的情况下给予汞的好处。我要提请注意的另一个权威是Rayer,他在治疗皮肤的梅毒疾病时,谈到了他所谓的简单性溃疡,Evans的vemerola vulgaris,和几个法国病理学家的普通下疳。他说它们是“所有形式的性病溃疡中最常见的”,“它们经常伴有龟头滴漏、尿道淋病和包茎病”,“他观察到这些溃疡导致的各种性病爆发和性病生长。”但是,我是否可以引用每一个人的经验,即使他有有限的机会来判断他是否多次遇到过淋病合并疮,在其他情况下,他应该立即说这是梅毒,并以此对待。
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引用次数: 0
Provincial Medical & Surgical Journal 省内外科杂志
Pub Date : 1852-10-27 DOI: 10.1136/bmj.s1-16.22.567
In these operations the distal mode of Brasdor has not been tried. The old method 16 times; and that of Hunter, with Scarpa's ligature 66 times. The number of cases of true aneurism was 33, of which two only were women. The results were, 10 unsuccessful and 23 cures. The number of false aneurisms was 10, all of which were successfully treated; Of the six cases of arterio-venous aneurism, for which the humeral artery was tied in each case, four were successful, .and in two amputation was necessitated by gangrene or secondary haemorrhage. These statistical facts will be read with interest by the English surgeon, by whom the thick ligature used by Scarpa is now carefully eschewed, but the small number of cases (4) in which secondary hbemorrhage occurred, will certainly bear out M. Roux in his attachment to this mode of operation. The difference between the EngLish and French modes of conducting the ligature of arteries is so great, both in the operation itself and in the dressing of the wound, that we rejoice to lind that the above facts will form part of a complete work on surgery, which M. Roux is now preparing, and of which the memoir presented to the Societe de Chirurgie is only an instalment. WEDNESDAY, OCTOBER 27, 1852.
在这些手术中,没有尝试过远端布拉斯多模式。老法16次;还有亨特,被斯卡帕捆绑了66次。真正动脉瘤的病例数为33例,其中只有2例是女性。结果:失败10例,治愈23例。假动脉瘤10例,均成功治疗;6例动静脉动脉瘤均行肱骨动脉捆扎术,4例成功,2例因坏疽或继发出血需截肢。这些统计数据将被英国外科医生津津有兴趣地阅读,他现在小心翼翼地避免了斯卡帕使用的粗结扎术,但是少数发生继发性出血的病例,肯定会证实鲁先生对这种手术方式的喜爱。英国和法国进行动脉结扎术的方法,无论是在手术本身还是在伤口的包扎上,都有很大的不同,因此我们高兴地看到,上述事实将成为鲁先生正在编写的一部关于外科手术的全集的一部分,而提交给法国外科学会的回忆录只是其中的一部分。星期三,1852年10月27日
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引用次数: 0
Clinical Lectures on Venereal Diseases of the Skin 皮肤性病临床讲座
Pub Date : 1852-10-27 DOI: 10.1136/bmj.s1-16.22.552
L. Parker
skill, have become the common property of the whole world; or who, by their wisdom and eloquence in the Senate, change the destinies of empires; or those upon whom, from their genius in the camp, the fate of nations bang; yet it must dailv, and almost hourly, occur to every one of you, however limited and humble his sphere may be, to lhave the charge of the healtlh and life of his fellow-creatures; and though possibly the grave may tell no tales, nor friends blame us, yet how can we shun the harrowing reproaches of our own conscience, if through our ignorance or neglect any human being shall he hurried to that "undiscovered country, from whose bourne no traveller returns." Perhaps-
技艺,已成为全世界的共同财产;或者在元老院以智慧和口才改变帝国命运的人;或者是那些因为他们在军营中的天赋而决定国家命运的人;然而,你们每一个人,不管他的领域多么有限和卑微,必须每天,几乎每时每刻地想到,他必须为他的同胞的健康和生命负责;虽然坟墓可能不会告诉我们任何故事,朋友也不会责备我们,但是,如果由于我们的无知或疏忽,有人匆忙赶到“未被发现的地方,没有人从那里回来”,我们怎么能避免自己良心的痛苦责备呢?也许- - - - - -
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引用次数: 1
Introductory Lecture* 介绍性讲座*
Pub Date : 1852-10-27 DOI: 10.1136/bmj.s1-16.22.547
Thomas Nunneley
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引用次数: 0
On the Relative Value of Maternal and Fœtal Life 论母亲与Fœtal生命的相对价值
Pub Date : 1852-10-27 DOI: 10.1136/bmj.s1-16.22.565
E. Sheppard
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引用次数: 0
Blisters in Gleet 《欢乐合唱团》中的水泡
Pub Date : 1852-10-27 DOI: 10.1136/bmj.s1-16.22.566-a
J. Milton
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引用次数: 0
On Benevolent and Provident Societies* 有关慈善及节俭社团*
Pub Date : 1852-10-27 DOI: 10.1136/bmj.s1-16.22.562
W. Newnham
THE fourth general meeting of the members of this useful and prospering Society was held at Martock, October 7th. Letters apologising for absence were read from Dr. Woodforde, Taunton; Dr. Sydenham, Yeovil; Dr. Pope, Somerton; Mr. Crouch, Bruton; Mr. Valentine, Somerton, &c., &c. The alterations made in the Draft of the new Medical Reform Rill, published in the Journal of May 12th, were read. The members considered that there are some clauses which may be greatly improved, and confirmed the resolutions of the last meeting, published in the same number of the Journal. A very interesting " Case of Strangulated Hernia" was brought forward by Mr. HENRY NORRIS (and is sent for publication). Much discussion ensued on the various modes of relief and methods of operation, and from several cases brought forward the members considered that in this part of the country the results of operations are highly favourable, a fatal termination occurring almost entirely in those cases where recourse to the knife has been too long delayed. Mr. HUGH NORRIS communicated a case in which pleuro-pericarditis instantaneously came on without previous illness or exposure, and early prostration terminated fatally on the 7th day, an autopsy revealing a cretaceous deposit of the size of a large walnut surrounding the right bronchus and pressing on the pulmonary artery, the substance being in the pulmonary texture. The subject of placenta pra3via caused much discussion, and elicited many illustrations of success in practice from early recourse to evacuation of the uterus, the method of previously detaching the placenta finding little advocacy. Some medico-legal cases were discussed, the members deriving much information from the medical Coroner for West Somerset, who was one of the visitors. The HONORARY SECRETARY urged the necessity of a good example being set by medical gentlemen in subscribing to the support of the new Benevolent College. It was resolved that the next meeting of the Society be held at Crewkerne.
10月7日,这个有益而繁荣的协会在马托克召开了第四次会员大会。他们读了陶顿的伍德福德医生的道歉信;西德纳姆医生,约维尔;波普博士,萨默顿;克劳奇先生,布鲁顿;瓦伦丁,萨默顿等公司,明目的功效。在5月12日的《华尔街日报》上发表的新医改草案中所做的修改。成员们认为有一些条款可以大大改进,并确认了上次会议的决议,并在《日刊》的同一期上发表。亨利·诺里斯先生提出了一个非常有趣的“绞窄性疝气案例”(并已付印)。对各种救济方式和手术方法进行了大量的讨论,从提出的几个案例来看,委员们认为,在这个国家的这个地区,手术的结果是非常有利的,致命的终止几乎都发生在那些求助于刀的时间太久的情况下。休·诺里斯(HUGH NORRIS)先生讲述了一个病例,该病例在没有先前疾病或暴露的情况下突然出现胸膜心包炎,早期虚弱在第7天致命地终止,尸检发现白垩纪时期有一个大核桃大小的沉积物围绕着右支气管,压迫着肺动脉,该物质位于肺组织中。前置胎盘的主题引起了许多讨论,并引出了许多实践中成功的例子,从早期求助到子宫撤离,先前分离胎盘的方法很少得到支持。讨论了一些医疗法律案件,成员们从西萨默塞特的法医那里得到了许多信息,他是来访者之一。名誉秘书强调,医学界的绅士们有必要为新成立的慈善学院立下好榜样。协会的下一次会议决定在克鲁肯举行。
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引用次数: 0
On the Relative Value of Maternal and Fœtal Life 论母亲与Fœtal生命的相对价值
Pub Date : 1852-10-27 DOI: 10.1136/bmj.s1-16.23.590
E. Sheppard
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引用次数: 0
Proceedings of Societies 学会学报
Pub Date : 1852-10-27 DOI: 10.1136/bmj.s1-16.22.560
7th.-Feels much better; gums sore. Cont. Pulv. l2th.-Says he is getting stronger every day. l9th.-Is so much improved that he thinks of going out of the hospital. Previous to his so doing his chest was examined. The dulness formerly noticed had disappeared in front, but the right lower back was still less resonant than the left ; the respiratory murmurs were now audible, though more feeble, on the right than oni the left side, especially at the lower and back part of the lungs; a deep inspiration produced a kind of crumpling sound over the seat of the injury. Expansion the same on botlh sides. General health good. Renzarks.-It is not improbable that in this case there occurred a laccration and rupture of one or more vessels, giving rise to an effusion of blood into the cavity of the pleura, and thus producing the plhysical phenomena mentioned as having been detected in the neighbourhood of the injured parti It is not likely that the effusion could have been very considerable, since little more than seven weeks were necessary to allow of the chest recovering its sonoriety and healthy play. Fortunately there appears to have been no in.ammatory complication, as might not unreasonably have been anticipated under the circumstances, and Fwith the exception of the alarming collapse which took place on the night of his admission, and which was in all probability the result of the escape of the blood into the pleural cavitv, the recovery took place without any untoward symptom.
第七-感觉好多了;牙龈肿痛。续,粉末。l2th。-说他一天比一天强壮。山河。他好多了,他想出院了。在此之前,他的胸部检查过。前面那种先前注意到的麻木感已经消失了,但右下背仍然不如左下背那么响亮;现在可以听到右肺的呼吸杂音了,虽然比左肺微弱,特别是在肺的下半部和后半部;深深的灵感在受伤的座位上产生了一种皱巴巴的声音。两边展开相同。总体健康状况良好。Renzarks。——不是不可能的,在这种情况下发生有laccration和一个或多个血管破裂,导致渗出的血液进入胸膜腔,因而有提到生产plhysical现象被发现受伤的邻居的不可能,积液可能是非常可观的,因为七周多一点是必要的让胸部恢复sonoriety和健康的游戏。幸运的是,似乎并没有出现这种情况。在当时的情况下,炎性并发症是可以合理地预料到的,除了在他入院的那天晚上发生了令人震惊的瘫倒,而且很可能是由于血液流进了胸膜腔,他的康复过程中没有出现任何不良症状。
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Provincial Medical and Surgical Journal
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