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HOPITAL DE LA CHARITE.
767
August 1.
The canula is removed, and
gum-elastic catheter introduced through
a
the
ligamentum coronarium, with the ligamentum laterale. No large vessel was ruptured, and the blood appears to have oozed Elowly
entire urethra into the bladder. The urine ’, is scanty and high coloured ; pulse 90, from the lacerated surface, and thus to acirritable; skin yellow, hot, and dry ; con- count for the length of time the boy lived tinual vesical irritation ; great depression after the receipt of the injury. of spirits. A gill of port wine to be drunk dailv. 8. The man has retrograded, and symp. HOTEL-DIEU. toms of hectic have supervened: countenance flushed ; tongue covered with a brown EXTIRPATION OF THE UTERUS. Eordes; pungent heat of skin ; stomach THE patient upon whom M. Recamier and water, rejcts every thing. Brandy performed this operation, on the 26th of. with ether, to be given every four hours. 12. The patient is evidently verging to. July, (see page 672,) is in a veJY satisfacwards dissolution ; hectic tint ; parched torystate, and, as it appears, out of all danOn the third and fourth days aiter the and un-
ger. pulse innumerable; pain a slight inflammatory reaction of hypogastric region. The wound operation, but it was happily subdued by took place, has a sloughy, appearance; as much urine means of leeches, and the warm passes through the wound as through the bath. Onbleeding’, the 4tli of August, the ligatures canula. Compound ipecaeuanha powder came away. From this period, no untoward nightly. symptom was observed, and on the 20th, 16. Died early this morning. seemed to be complete. recovery Autopsy twenty-four hours after Death. tongue; easiness
Old adhesions between the pleura of both lungs; some hepatisation of the right. The abdominal viscera natural. The blad-
HOPITAL DE LA CHARITE.
LITHOTOMY. der considerably thickened, ureters enlarged, and the true urethral canal totally C. D., an apparently lealthy man, about obliterated ; a false passage existed on each 70 years of age, had, for about four years, side, probabiv made during some. of the at- been affected with gravel. On sounding, tempts to pass the bougie or catheter. No the presence of calculus in the bladder was perineal fistula, or cellular infiltration, exist- readily ascertained, but it appeared there and an adhesive inflammation com-
ed ;
of any considerable size, and it seemed even likely that there were several smaller calculi. 1B1. Roux. accordingly RUPTURE OF 1HE LIVER. gave up his intention of performing litbonWilliam Spring, ætat. 12, an errand boy, trity in this case, and determined upon lithowlJO had been passed over by the wheel of a tomy, with the lithotome cacke. The operawhich was performed on the 28th of cart, was admitted under the care of Sir A. tion, afforded nothing of any peculiar inteJuly, the of the 26t]i ult. There Carlisle, evening and terminated by the extraction was rest, was a deadly pallor of visage ; blanched lips; distended nostrils ; heavy respiration ; great of about 100 calculi of different sizes, the larger than the tip of the pain at the precordia; pulse indistinct. largest not being of uric acid, with a consisted finger. They Wlien placed in bed, he lay on his back. layer of the oxalate of lime. Brandy and cordials, and fomentations, to I superficial M. Roux observed, that he had several be applied. ago operated upon a patient, from He years re27. expresses himself considerably whose bladder he had extracted not less lieved this morning. Four, P.M. The distressing dyspnoea has than 195 small stones ; the same patient previously operated upon by M. returned; unable to lie on the left side ; iu- I had been tense anxiety of countenance; pulse imper- Boyer, with a similar result. On the 1st of August M. Roux performed ceptible ; extremities cold. Cordials ; mustard plaster to the chest. Died at ten lithotomy on a patient who had been admitted on the 29th of December, 1828, and o’clock. from this period up to the present time, had Autopsy fou2-teen hours after Death. already been twice operated on, on the 14th The thoracic viscera perfectly healthy. of February and the 13th of June. The Iu the abdomen, nearly four pints of dark operation was performed in the same manlic-r in the above case, except that Hawkins’s srumous fluid blood were effused; after a careful examination, a rupture of the liver cutting gorget was used instead of the litho’xea discovered, extending the length of fourtome. About fourteen stones, of the size cles diagonally across the upper surface, of a filbert each, were extracted.—Lanc. and beninniug a little above the augle of the Frapp. was no stone
pletely surrounded the wound.
as
August 1.
The canula is removed, and
gum-elastic catheter introduced through
a
the
ligamentum coronarium, with the ligamentum laterale. No large vessel was ruptured, and the blood appears to have oozed Elowly
entire urethra into the bladder. The urine ’, is scanty and high coloured ; pulse 90, from the lacerated surface, and thus to acirritable; skin yellow, hot, and dry ; con- count for the length of time the boy lived tinual vesical irritation ; great depression after the receipt of the injury. of spirits. A gill of port wine to be drunk dailv. 8. The man has retrograded, and symp. HOTEL-DIEU. toms of hectic have supervened: countenance flushed ; tongue covered with a brown EXTIRPATION OF THE UTERUS. Eordes; pungent heat of skin ; stomach THE patient upon whom M. Recamier and water, rejcts every thing. Brandy performed this operation, on the 26th of. with ether, to be given every four hours. 12. The patient is evidently verging to. July, (see page 672,) is in a veJY satisfacwards dissolution ; hectic tint ; parched torystate, and, as it appears, out of all danOn the third and fourth days aiter the and un-
ger. pulse innumerable; pain a slight inflammatory reaction of hypogastric region. The wound operation, but it was happily subdued by took place, has a sloughy, appearance; as much urine means of leeches, and the warm passes through the wound as through the bath. Onbleeding’, the 4tli of August, the ligatures canula. Compound ipecaeuanha powder came away. From this period, no untoward nightly. symptom was observed, and on the 20th, 16. Died early this morning. seemed to be complete. recovery Autopsy twenty-four hours after Death. tongue; easiness
Old adhesions between the pleura of both lungs; some hepatisation of the right. The abdominal viscera natural. The blad-
HOPITAL DE LA CHARITE.
LITHOTOMY. der considerably thickened, ureters enlarged, and the true urethral canal totally C. D., an apparently lealthy man, about obliterated ; a false passage existed on each 70 years of age, had, for about four years, side, probabiv made during some. of the at- been affected with gravel. On sounding, tempts to pass the bougie or catheter. No the presence of calculus in the bladder was perineal fistula, or cellular infiltration, exist- readily ascertained, but it appeared there and an adhesive inflammation com-
ed ;
of any considerable size, and it seemed even likely that there were several smaller calculi. 1B1. Roux. accordingly RUPTURE OF 1HE LIVER. gave up his intention of performing litbonWilliam Spring, ætat. 12, an errand boy, trity in this case, and determined upon lithowlJO had been passed over by the wheel of a tomy, with the lithotome cacke. The operawhich was performed on the 28th of cart, was admitted under the care of Sir A. tion, afforded nothing of any peculiar inteJuly, the of the 26t]i ult. There Carlisle, evening and terminated by the extraction was rest, was a deadly pallor of visage ; blanched lips; distended nostrils ; heavy respiration ; great of about 100 calculi of different sizes, the larger than the tip of the pain at the precordia; pulse indistinct. largest not being of uric acid, with a consisted finger. They Wlien placed in bed, he lay on his back. layer of the oxalate of lime. Brandy and cordials, and fomentations, to I superficial M. Roux observed, that he had several be applied. ago operated upon a patient, from He years re27. expresses himself considerably whose bladder he had extracted not less lieved this morning. Four, P.M. The distressing dyspnoea has than 195 small stones ; the same patient previously operated upon by M. returned; unable to lie on the left side ; iu- I had been tense anxiety of countenance; pulse imper- Boyer, with a similar result. On the 1st of August M. Roux performed ceptible ; extremities cold. Cordials ; mustard plaster to the chest. Died at ten lithotomy on a patient who had been admitted on the 29th of December, 1828, and o’clock. from this period up to the present time, had Autopsy fou2-teen hours after Death. already been twice operated on, on the 14th The thoracic viscera perfectly healthy. of February and the 13th of June. The Iu the abdomen, nearly four pints of dark operation was performed in the same manlic-r in the above case, except that Hawkins’s srumous fluid blood were effused; after a careful examination, a rupture of the liver cutting gorget was used instead of the litho’xea discovered, extending the length of fourtome. About fourteen stones, of the size cles diagonally across the upper surface, of a filbert each, were extracted.—Lanc. and beninniug a little above the augle of the Frapp. was no stone
pletely surrounded the wound.
as