Poisons, Their Effects and Detection: A Manual for the Use of Analytical Chemists and ExpertsBlyth, Alexander Wynter
Science
Poisons, Their Effects and Detection: A Manual for the Use of Analytical Chemists and Experts
Blyth, Alexander Wynter
Poisons
§ 203. With some persons doses, which, in themselves, are insufficient
to cause death, yet have a peculiar effect on the mental faculties. A
case of great medico-legal interest is described by the patient himself,
Dr. Manjot.[186] He took in three doses, hourly, 12 grms. of chloral
hydrate. After the first dose the pain, for which he had recourse to
chloral, vanished; but Manjot, although he had all the appearance of
being perfectly conscious, yet had not the slightest knowledge of what
he was doing or speaking. He took the other two doses, and sank into a
deep sleep which lasted twelve hours. He then awoke and answered
questions with difficulty, but could not move; he lay for the next
twelve hours in a half slumber, and the following night slept
soundly--to wake up recovered.
[186] _Gaz. des Hôp._, 1875.
§ 204. The treatment of acute chloral poisoning which has been most
successful is that by strychnine injections, and the application of
warmth to counteract the loss of temperature which is so constant a
phenomenon. As an illustration of the treatment by strychnine, an
interesting case recorded by Levinstein[187] may be quoted.
[187] _Vierteljahrsschr. f. ger. Med._, Bd. xx., 1874.
A man, thirty-five years old, took at one dose, for the purpose of
suicide, 24 grms. of chloral hydrate. In half an hour afterwards he was
found in a deep sleep, with flushed face, swollen veins, and a pulse 160
in the minute. After a further half hour, the congestion of the head was
still more striking; the temperature was 39·5°; the pulse hard and
bounding 92; the breathing laboured, at times intermittent.
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