Medical Essays

第21章

room。Thesameeveningheattendedawomaninlaborwithoutpreviouslychanginghisclothes;thispatientdied。Thenextmorninghedeliveredawomanwiththeforceps;shediedalso,andofmanyotherswhowereseizedwiththediseasewithinafewweeks,threesharedthesamefateinsuccession。

InJune,1823,heassistedsomeofhispupilsattheautopsyofacaseofpuerperalfever。Hewasunabletowashhishandswithpropercare,forwantofthenecessaryaccommodations。Ongettinghomehefoundthattwopatientsrequiredhisassistance。Hewentwithoutfurtherablution,orchanginghisclothes;boththesepatientsdiedwithpuerperalfever。ThissameDr。CampbellisoneofDr。

Churchill’sauthoritiesagainstcontagion。

Mr。Robertonsaysthatinoneinstancewithinhisknowledgeapractitionerpassedthecatheterforapatientwithpuerperalfeverlateintheevening;thesamenightheattendedaladywhohadthesymptomsofthediseaseonthesecondday。Inanotherinstanceasurgeonwascalledwhileintheactofinspectingthebodyofawomanwhohaddiedofthisfever,toattendalabor;withinforty-eighthoursthispatientwasseizedwiththefever。’

Onthe16thofMarch,1831,amedicalpractitionerexaminedthebodyofawomanwhohaddiedafewdaysafterdelivery,frompuerperalperitonitis。Ontheeveningofthe17thhedeliveredapatient,whowasseizedwithpuerperalfeveronthe19th,anddiedonthe24th。

Betweenthisperiodandthe6thofApril,thesamepractitionerattendedtwootherpatients,bothofwhomwereattackedwiththesamediseaseanddied。

Intheautumnof1829aphysicianwaspresentattheexaminationofacaseofpuerperalfever,dissectedouttheorgans,andassistedinsewingupthebody。Hehadscarcelyreachedhomewhenhewassummonedtoattendayoungladyinlabor。Insixteenhoursshewasattackedwiththesymptomsofpuerperalfever,andnarrowlyescapedwithherlife。

InDecember,1830,amidwife,whohadattendedtwofatalcasesofpuerperalfeverattheBritishLying-inHospital,examinedapatientwhohadjustbeenadmitted,toascertainiflaborhadcommenced。

Thispatientremainedtwodaysintheexpectationthatlaborwouldcomeon,whenshereturnedhomeandwasthensuddenlytakeninlaboranddeliveredbeforeshecouldsetoutforthehospital。Shewentonfavorablyfortwodays,andwasthentakenwithpuerperalfeveranddiedinthirty-sixhours。

“Ayoungpractitioner,contrarytoadvice,examinedthebodyofapatientwhohaddiedfrompuerperalfever;therewasnoepidemicatthetime;thecaseappearedtobepurelysporadic。Hedeliveredthreeotherwomenshortlyafterwards;theyalldiedwithpuerperalfever,thesymptomsofwhichbrokeoutverysoonafterlabor。Thepatientsofhiscolleaguedidwell,exceptone,whereheassistedtoremovesomecoagulafromtheuterus;shewasattackedinthesamemannerasthosewhomhehadattended,anddiedalso。“Thewriterinthe“BritishandForeignMedicalReview,“fromwhomIquotethisstatement,——andwhoisnootherthanDr。Rigby,adds,“Wetrustthatthisfactalonewillforeversilencesuchdoubts,andstampthewell-

meritedepithetof’criminal,’asabovequoted,uponsuchattempts。“

[Brit。andFor。MedicalReviewforJan。1842,p。112。]

>FromthecasesgivenbyMr。Ingleby,Iselectthefollowing。Twogentlemen,afterhavingbeenengagedinconductingthepost-mortemexaminationofacaseofpuerperalfever,wentinthesamedress,eachrespectively,toacaseofmidwifery。“Theonepatientwasseizedwiththerigoraboutthirtyhoursafterwards。Theotherpatientwasseizedwitharigorthethirdmorningafterdelivery。

Onerecovered,onedied。“[Edin。Med。andSurg。Journal,April,1838。]

Oneofthesesamegentlemenattendedanotherwomaninthesameclothestwodaysaftertheautopsyreferredto。“Therigordidnottakeplaceuntiltheeveningofthefifthdayfromthefirstvisit。

Resultfatal。“Thesecasesbelongedtoaseriesofseven,thefirstofwhichwasthoughttohaveoriginatedinacaseoferysipelas。

“Severalcasesofamildcharacterfollowedtheforegoingseven,andtheirnaturebeingnowmostunequivocal,myfrienddeclinedvisitingallmidwiferycasesforatime,andtherewasnorecurrenceofthedisease。“Thesecasesoccurredin1833。Fiveofthemprovedfatal。

Mr。Inglebygivesanotherseriesofseveneaseswhichoccurredtoapractitionerin1836,thefirstofwhichwasalsoattributedtohishavingopenedsev

后续内容为VIP可读请开通VIP,或购买此章节

这是VIP章节,可用辰豆购买本章或开通会员后阅读
开通VIP
字体大小
背景颜色