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On eclampsia
REVIEWS
AND
531
ABSTRACTS
Stroganoff’s method (or its modifications’) has been applied to 2208 cases of eclampsia in 39 European clinicNs with a maternal mortality of 9.13 per cent. In one hospital 75 cases were pers’onally treated by Stroganoff without a fatality. The metho,d yields an aversge infant mortality of 15.5 per cent. The author feels that greater familiarity with the method and attention to the details of its exe’cution will materially improve the remarkable results already obtained. H. W. SHUTTER.
Costa, N. P.: anoff.
One Hundred
Semana
Medica,
Cases of Eclampsia 1922,
xxix,
Treated
hy the Method
of StrogL
10283.
One hundred oas’es of eclampsia with one to 42 convulsions’ are summarized by the writer, seventy-four pIere tre’ated by the Stroganoff method, while in 26 venesection also was resorted to. The cases were all isolated in a blue ro’om, in order to procure the quieting &ect of blue light upon the nervous system. All operative interventions took place in these surroundings, and the patient was not removed until well along in convalescence. Twenty operations were performesd, all by the peNlvic route, and all, slave for two vaginal ces8areNans in cases with repelated convulsions, after complete or practically complete dilatation and in the expulsivel stage, twenty cases died, a mosrtality of 20 per cent. Seventy-eight cases delivered of 82 fetuses, (4 twins), resulted in 34 stillbirths, a gross fetal mortality of 39 per cent; of these, however, 14 were desaad on admissio’n, and 12 were non-viable, a corrected mortality of 10 per cent. Despite the admittedly high mortality of the series, due to the oeriousnelss of the cases admitted to the clinic, (the majority in coma), the author believes that the Stroganoff treatment is superior to most of the medical treatments .of ecllampsia, and that it will in many case’s permit the patient to be carried 81song, if not to term, at least to the period of viability of the child. In general it is a valuable method for the practising physician anywhere, and is an effective means of combating the most dangerous symptom, the eclamptic seizure. THOS. R. GoETHALS.
Zweifel, lxx,
Erwin:
On Eclampsia.
Muenchener
Medizinische
Woehenschrift,
1923,
977.
Experiments by the w:riter on pregnant and nonpregnant rabbits and guinea pigs with injections of selrum of their own fetuses shorned entirely negative re’sults. They contra,dict the results of Lockemann, Thies and Graefenberg who had reposrted anaphylactic reactions from such experiments. Zweifel ascribes the difference of results, to the use of compar,atively too large quantities of serum injejcted by other investigators. Discussing the methods of prophylaxis and therapy of the cIinic at Munich he advocates conservation. Edmemas of pregnancy in the pre- eclamptic stage are treated by means of forced perspiration, decrease of fluid-int#ake, a salt-free diet and diuretics. Cases with involved kidneys are tre&ated a,s nephritica Gonvulsions are handled with venesectioa and narcotics (morphine and chloralhydrate or luminalaatrium and magnes. glycerine-phosph.) . Operative measures were only used when c.onservative methods had proved inefficient. Statistics of the Munich clinic show from Jan. 1, 1913, to Dec. 31, 1921, among 29,733 deliveries 190 eclamplsias (145 primiparae and 45 multiparae), of these 23 died (17.39 per cent), 7 of
AND
531
ABSTRACTS
Stroganoff’s method (or its modifications’) has been applied to 2208 cases of eclampsia in 39 European clinicNs with a maternal mortality of 9.13 per cent. In one hospital 75 cases were pers’onally treated by Stroganoff without a fatality. The metho,d yields an aversge infant mortality of 15.5 per cent. The author feels that greater familiarity with the method and attention to the details of its exe’cution will materially improve the remarkable results already obtained. H. W. SHUTTER.
Costa, N. P.: anoff.
One Hundred
Semana
Medica,
Cases of Eclampsia 1922,
xxix,
Treated
hy the Method
of StrogL
10283.
One hundred oas’es of eclampsia with one to 42 convulsions’ are summarized by the writer, seventy-four pIere tre’ated by the Stroganoff method, while in 26 venesection also was resorted to. The cases were all isolated in a blue ro’om, in order to procure the quieting &ect of blue light upon the nervous system. All operative interventions took place in these surroundings, and the patient was not removed until well along in convalescence. Twenty operations were performesd, all by the peNlvic route, and all, slave for two vaginal ces8areNans in cases with repelated convulsions, after complete or practically complete dilatation and in the expulsivel stage, twenty cases died, a mosrtality of 20 per cent. Seventy-eight cases delivered of 82 fetuses, (4 twins), resulted in 34 stillbirths, a gross fetal mortality of 39 per cent; of these, however, 14 were desaad on admissio’n, and 12 were non-viable, a corrected mortality of 10 per cent. Despite the admittedly high mortality of the series, due to the oeriousnelss of the cases admitted to the clinic, (the majority in coma), the author believes that the Stroganoff treatment is superior to most of the medical treatments .of ecllampsia, and that it will in many case’s permit the patient to be carried 81song, if not to term, at least to the period of viability of the child. In general it is a valuable method for the practising physician anywhere, and is an effective means of combating the most dangerous symptom, the eclamptic seizure. THOS. R. GoETHALS.
Zweifel, lxx,
Erwin:
On Eclampsia.
Muenchener
Medizinische
Woehenschrift,
1923,
977.
Experiments by the w:riter on pregnant and nonpregnant rabbits and guinea pigs with injections of selrum of their own fetuses shorned entirely negative re’sults. They contra,dict the results of Lockemann, Thies and Graefenberg who had reposrted anaphylactic reactions from such experiments. Zweifel ascribes the difference of results, to the use of compar,atively too large quantities of serum injejcted by other investigators. Discussing the methods of prophylaxis and therapy of the cIinic at Munich he advocates conservation. Edmemas of pregnancy in the pre- eclamptic stage are treated by means of forced perspiration, decrease of fluid-int#ake, a salt-free diet and diuretics. Cases with involved kidneys are tre&ated a,s nephritica Gonvulsions are handled with venesectioa and narcotics (morphine and chloralhydrate or luminalaatrium and magnes. glycerine-phosph.) . Operative measures were only used when c.onservative methods had proved inefficient. Statistics of the Munich clinic show from Jan. 1, 1913, to Dec. 31, 1921, among 29,733 deliveries 190 eclamplsias (145 primiparae and 45 multiparae), of these 23 died (17.39 per cent), 7 of