The American Therapist. Vol. II. No. 7. Jan. 15th, 1894: A Monthly Record of Modern Therapeutics, with Practical Suggestions Relating to the Clinical Applications of Drugs. — John Shaqi
The American Therapist. Vol. II. No. 7. Jan. 15th, 1894: A Monthly Record of Modern Therapeutics, with Practical Suggestions Relating to the Clinical Applications of Drugs.Various
Science
The American Therapist. Vol. II. No. 7. Jan. 15th, 1894: A Monthly Record of Modern Therapeutics, with Practical Suggestions Relating to the Clinical Applications of Drugs.
Various
Drug utilization -- Periodicals; Drugs -- Periodicals
1. Out of 763 persons dying of a non-tubercular disease seventy-one, or
over nine per cent., at some time in their life had phthisis, from which
they had recovered.
2. The new fibrous tissue by which the advance of the disease was
apparently checked and the cure effected, developed principally by
round-cell infiltration of the interlobular connective tissue, which in
some instances had increased to an enormous extent. Some of the new
fibrous tissue was formed later by round-cell infiltration in the
alveolar walls and around the blood-vessels and bronchi. Pleuritic
fibrosis appears to be secondary to tubercular processes in the lung
substance. The interlobular connective tissue is the primary and
principal source of the fibrosis.
3. Tubercle bacilli were present in the healed areas in three out of
twelve of the lungs examined. These healed areas did not differ in their
gross or microscopical appearances from those in which they were not
found.
4. Thirty-six per cent. of all cases where the lungs were free from
disease showed localized or general adhesions of the two surfaces of the
pleura.
_VENTRO-FIXATION OF THE UTERUS._
Dr. Spaeth, of Hamburg, according to the _Lancet_, has now published
reports of twenty-five cases in which he has performed the operation
known as ‘ventro-fixation of the uterus.’ None of the cases proved
fatal. In seventeen permanent anteflexion was obtained; in fourteen
there was, besides the retroflexion, a diseased condition of the uterine
appendages necessitating their removal. Of the cases that were not so
complicated all except one were successful. Dr. Spaeth rarely fastens
the stump of the broad ligament into the abdominal wound, usually
stitching the fundus uteri directly to the parietal peritoneum. In the
later cases he adopted Schede’s method—that is to say, silver sutures
were drawn through the whole thickness of the abdominal walls at
intervals of about an inch and a half, but they were not at first tied.
In the intervals finer silver sutures were inserted through the sheaths
of the recti, the peritoneum and the fundus uteri, and tightened,
twisted, and cut short, the whole of course being beneath the skin; the
thicker sutures were then tightened and twisted and the lips of the
wound brought together with superficial catgut sutures. The subcutaneous
silver sutures remained, but never gave any trouble. Dr. Schede and Dr.
Spaeth are both of opinion that this method is the best for preventing
any hernia, and that when it has been employed abdominal binders are
unnecessary. Dr. Spaeth does not perform or recommend ventro-fixation in
cases of retroflexion unless there is either disease of the appendages
or chronic peritonitis.
_PNEUMONIA._
Croupous pneumonia has during recent times been defined as “an
infectious disease characterized by inflammation of the lungs and
constitutional disturbance of varying intensity.”
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