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Provincial Medical and Surgical Journal最新文献

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Hospital Reports 医院报告
Pub Date : 1852-09-29 DOI: 10.1136/bmj.s1-16.20.501
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引用次数: 0
Foreign Department 外交部门
Pub Date : 1852-09-29 DOI: 10.1136/bmj.s1-16.20.509-a
L. Dock
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引用次数: 0
Mr. Paul on Our Remarks upon His Case of Scirrhous Pylorus 保罗先生谈他的幽门螺杆菌案
Pub Date : 1852-09-29 DOI: 10.1136/BMJ.S1-16.20.509
A. Paul
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引用次数: 0
Provincial Medical & Surgical Journal 省内外科杂志
Pub Date : 1852-09-29 DOI: 10.1136/bmj.s1-16.20.512
unknown forms of disease, are fairly and properlv pointed out. The diagnosis is also demonstrated between the rheumatic, gouty, and neuralgic forms of otalgic disease; and upon all these points the author has evidently bestowed some pains. As drawing professional attention to some forms of disease not hitherto included in the catalogue of the " ills to which flesh is heir," the work now under our notice is deserving a careful perusal.
不为人知的疾病形式,被公正而恰当地指出。诊断也证明风湿病,痛风,和神经痛形式的耳疾病之间;在所有这些问题上,作者显然都费了不少功夫。由于引起专业人士对一些迄今尚未列入“肉体继承的疾病”目录的疾病形式的注意,现在我们注意到的工作值得仔细阅读。
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引用次数: 0
Proceedings of Societies 学会学报
Pub Date : 1852-09-29 DOI: 10.1136/bmj.s1-16.20.506
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引用次数: 0
Dr. Ogier Ward on Dr. Merei's Description of Typhus 奥吉尔·沃德医生讲解梅雷医生对斑疹伤寒的描述
Pub Date : 1852-09-15 DOI: 10.1136/BMJ.S1-16.19.481
T. Ward
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引用次数: 1
Hospital Reports 医院报告
Pub Date : 1852-09-15 DOI: 10.1136/bmj.s1-16.19.474
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引用次数: 0
Mr. Vivian's Speech at the Late Swansea Meeting 维维安先生在斯旺西会议上的讲话
Pub Date : 1852-09-15 DOI: 10.1136/bmj.s1-16.19.482
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引用次数: 0
Provincial Medical & Surgical Journal 省内外科杂志
Pub Date : 1852-09-15 DOI: 10.1136/bmj.s1-16.19.487
fistulas connected with the bladder, uterus, and rectum, it is necessary not only to pare the edges of the fistula and to bring them in apposition by suture, but also to suzppb,from the adjacent parta the loss of substance which has taken place. M. Jobert maintains that all vesico-vaginal and vesico-uterine fistulas, except where the vagina is reduced to the size of a crow-quill, and even those fistulas in which the bladder, womb, and rectum, are all opening into one cloaca, are capable of alleviation by autoplastic operation, and that by means. of the univalve speculum, without having recourse to any division of the perinaeum, this operation may always be concluded. The results of Mi. Jobert's practice, as detailed by him, are so completely at variance with the acknowledged want of success in this country, in similar operations, that we can scarcely give ful credence to his assertions. But nevertheless, it is not because these accidents are the opprobria of our art in this country, that we should resolutely shut our eyes to what is. put forth in another, and therefore we have thought it right to draw the attention of those who may be called upon to treat any of the various forms of fistula, to the work of M. Jobert. In the treatment of vesico-vaginal fistula, M. Jobert leans to the simple occlusion of the os tinee, in which case the secretions from the lining membrane of the uterus are all poured into the bladder through the original fistula, and the incontinence of urine is got rid of,. which is the most disgusting symptom attendant upon these unfortunate cases; but in addition, he gives a method of operating, which, however, does not appear to partake of the nature of auEoplasty, but simply to consist in a tedious dissection and final paring of the lips of the fistula, which is then to be brought together by suture. In proceeding to operate upon those lamentable cases in which the vesico-vaginal septum is destroyed as well as the anterior wall of the uterus, M. Jobert sometimes malkes use of the neck of the uterus itself to supply the deficiency, and he finds that union by the first iutention is procured as easily as in any other itrieture. In other cases the labia are the parts which are compelled to take a new position in supplying the defective parts; and sometimes even the cellular couch surrounding the orifice of the urethra, with a part of that organ included. In the details of the operation M. Jobert is most minute; and as far as description can supply the place of ocular demonstration, his book wili be sufficient for all who may think it desirable to follow his steps. We may remind our readers, that the operations described have all, or nearly all, been performed in public, and that the treatise is published in Paris, where the correctness of the statements may easily ber ascertained.
对于与膀胱、子宫和直肠相连的瘘管,不仅需要切除瘘管的边缘,用缝线将它们连接在一起,而且需要从邻近部分切除已经发生的物质损失。乔伯特先生坚持认为,所有膀胱阴道瘘和膀胱子宫瘘,除了阴道缩小到鹅毛笔大小,甚至那些膀胱、子宫和直肠都向一个泄殖腔开放的瘘,都可以通过自体成形术和方法来缓解。对于单瓣窥镜,不需要对会阴进行任何分割,这种手术总是可以结束的。乔伯特先生的实践结果,正如他所详述的那样,与这个国家公认的在类似行动中缺乏成功的情况完全不同,我们几乎不能完全相信他的断言。然而,这并不是因为这些意外事件是我们的艺术在这个国家的耻辱,我们应该坚决闭上眼睛。因此,我们认为有必要提请那些可能被要求治疗各种形式瘘管病的人注意约贝尔先生的工作。在膀胱阴道瘘的治疗中,M. Jobert倾向于简单的闭锁阴道,这样子宫内膜的分泌物全部通过原瘘口流入膀胱,从而消除了尿失禁。这是这些不幸的案件所伴随的最令人厌恶的症状;此外,他还提出了一种手术方法,不过,这种方法似乎不具有鼻窦炎成形术的性质,而仅仅是冗长的解剖和最后切割瘘管的嘴唇,然后用缝线把它们连在一起。在对那些膀胱阴道间隔和子宫前壁被破坏的令人遗憾的病例进行手术时,Jobert先生有时会利用子宫颈部本身来弥补缺陷,他发现第一次接触就能像在任何其他器官中一样容易实现结合。在其他情况下,阴唇是被迫采取新的位置来供应有缺陷的部分的部分;有时甚至是尿道孔周围的细胞床,包括该器官的一部分。在手术的细节上,约贝尔先生是最细致的;就描述所能代替亲眼所见而言,他的书对所有想要追随他脚步的人来说都是足够的。我们可以提醒我们的读者,所描述的操作全部或几乎全部是在公开场合进行的,而且这篇论文是在巴黎发表的,在那里可以很容易地确定陈述的正确性。
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引用次数: 0
Traité des Fistules Vesico-Uterines, Vesico-Utero-Vaginales, Entero-Vaginales et Recto-Vaginales 膀胱-子宫、膀胱-子宫-阴道、肠-阴道和直肠-阴道瘘的治疗
Pub Date : 1852-09-15 DOI: 10.1136/bmj.s1-16.19.486-a
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引用次数: 1
期刊
Provincial Medical and Surgical Journal
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