Imatges de pàgina
PDF
EPUB

respiration thus contributing, as far as it was able, to neutralize the injurious effects of the hyperglucosis.-Moniteur des Hopitaux, Oct. 3, and Nov. 9, 1855.

Chloroform in Pneumonia. A Hun garian physician, Dr. STOHANDL, reports three cases of pneumonia in which much benefit was derived from the inhalation of small quantities of chloroform (30 to 40 drops), repeated several times a day. After each inhalation the symptoms were relieved; after four or six hours they again became aggravated, but were again relieved by a repetition of the inhalation. In from five to eight days a cure was effected. Revue de Therap. Med. Chirurg., Oct. 1, 1855, from Ungar. Zeitschrift.

circle of Görz (in Illyria), 13.354 cases, of which 8,483 recovered, and 4,697 died. In 297 places in Istria 17,994 cases occurred with 6,192 deaths. Thirty places in Carinthia, having a population of above 8,000 souls, furnished 611 cases, with 377 recoveries. In the circle of Trent, to the 4th of October, 14,284 cases with 6,128 deaths had occurred. In Silesia, from 1 July to 22 September, amidst a population of 158,522 souls, 3,915 cases, with 1,591 deaths, occurred. In Oldenburgh, in 667 places, with a population of 732,323, there occurred 43,020 cases, giving rise to 17,291 deaths. In the government districts of Cracow the disease is still raging, the number of cases in 795 localities, with a population of 765,951, amounting to 33,741, with 13,487 deaths. In Cracow itself the cases were 3,376 in

1,761 cases, with 1,077 deaths, have taken place. In the Duchy of Parma 11,943 cases had occurred to the 5th of October, with 6,157 deaths.-Med. Times and Gaz., Nov. 17, 1855.

Luxation of the Knee.-M. ROYER com-number, 1,185 of these fatal. In Berlin municated to the Imperial Academy of Medicine, 18th Sept., 1855, a case of complete luxation of the knee forward, the tibia mounting many centimetres before and above the articulating surface of the femur, without tearing of the external parts. This luxation was easily reduced by forced flexion of the leg on the thigh, and a prompt cure was effected. In a month the patient could walk, and in six weeks the cure was completed.-Revue de Therap. Med. Chirurg.,tions, the Italian practitioners are strong Oct. 15, 1855.

Statistics of Cholera in Italy in 1854.— Dr. CASTIGLIONI has recently published the following figures respecting the cholera in Italy. He states that, with very few excep.

contagionists, and believe in the power of quarantine and isolation in preventing the Anesthetics in the Austrian Army-Ainvasion and spread of the disease. He incircular has just been issued, ordering that stances Milan as a notorious instance, in in future the army medical officers shall al-which the prompt adoption of measures of ways employ, for the purpose of inducing this kind has checked three invasions of anæsthesia, a mixture consisting of one part cholera in the bud.-(See Annali chloroform and nine parts ether, this being vol. 153.) : the proportion long employed by Dr. Weiger, a Vienna dentist.-Med. Times and Gaz., Nov. 17, 1855.

The Cholera in Germany and Italy.— The Wiener Wochenschrift reports that the cholera is almost every where on the decline. It furnishes some figures, also, which show that it has prevailed in some places with very great severity. To the end of September there had occurred in Trieste and its vicinity 4,000 cases, more than 1,600 of which were fatal. During the 130 days that the disease prevailed in that port, 968 cases (540 male and 428 female) were received into the Bürgerspital. Of this number 510 (268 males and 242 females) died. To the 27th, there had occurred in 290 localities of the

Locality.

:

Cases.

Omodei,

Recovered.

Died.

Mortality.
Proportion

Per Cent. of

of Cases to

Population.

Entire Lombardy, 3116 989 2127 68.26 1 to 908
Genoa,
5318 2382 2936 55.20 1 to 23
Turin,
2477 1076 1401 56.56 1 to 58
Entire Piedmont, 45000 21000 24000 53.33 1 to 204
Tuscany,
6512 2946 3566 54.76 1 to 276
1668
City of Rome,
583 1085 65.04 1 to 107
City of Catania.
12642 5206 7436 58.81 1 to 33
City of Naples,
3921 2218 1703 43.43 1 to 15

Sickness and Mortality in France.From a table constructed from observations made in the hospitals of Paris for the year 1850, and republished in the Assurance Magazine for April, 1855, it appears that

chlorine. Baron Liebig read a paper on a new compound of fulminic acid, the salts of which are of adamantine brilliancy. Chevalier Clausen exhibited artificial guttapercha, likely to be very useful in forming splints and other appliances, for surgeonsVarious interesting papers were also communicated, on the physiological changes in

[ocr errors]

masons, amongst males, present by far the highest figure as sufferers; next come the tailors, then house-painters, then bakers, then turners, then smelters; amongst these the days of sickness are longest in the masons, next in the tailors, then in the painters, next in the bakers, next in the turners, and lastly in the tanners. Of all these, the mortality is highest in the tailors; the ma-marine vivaria, &c.-Lancet, Sept. 22, 1855. sons follow, and the other occupations in the order we have already given. Out of The Late Mr. Newport.-A plain but 6,715 women attacked with sickness during handsome monument, of Aberdeen granite. the above period, not fewer than 4,268, or has recently been placed in the Cemetery of nearly two-thirds, were confectioners. In Kensal-green, to the memory of the late an admirable work on the benevolent insti- GEORGE NEWPORT, the eminent naturalist tutions of France, M. de Watteville, in and physiologist. The following simple in1851, stated the ratio of deaths in the hospi-scription on the stone implies strongly, if it tals of Paris to be 1 in 11, both for males does not formally express, the merits of the and females. This was for the year 1847, deceased. The fact of having a public which, from the dearness of provisions and monument raised to him by those who knew the consequent misery of the poorer classes, him best, his friends and fellow-workers, is must be considered exceptional. He esti-a eulogy of a kind which can never be quesmates also the average duration of sicktioned, while his own scientific writings concases in the hospital as twenty-four days stitute his best and most enduring epitaph: for males and twenty-five for females. The" Sacred to the memory of George Newport, average mortality amongst female cases seems to be greater than amongst males, the former being 1 death for 11.94 patients, and the latter 1 in 13.92; but this may arise from females not having recourse to the aid of the hospital until the last extremity.

F. R. S., F. L. S., F. R. C. S., etc. etc. etc. He was born in Canterbury on the fourth day of July, 1803, and died in London on the seventh day of April, 1854. This monument was erected by Fellows of the Royal and Linnæan Societies to commemorate their regret for the loss of a much esteemed colleague, and to testify their sense of the great services rendered by him to science."

Scarlatina. This disease has, for the past two months, been prevalent in London, and still continues unabated.

[ocr errors]

British Association for the Advancement of Medical Science. This association has had several very interesting meetings at-Med. Times and Gaz., Dec. 1, 1855. Glasgow during the week, attended by Baron Liebig, Dr. Daubeny, Dr. Playfair, Sir David Brewster, Dr. Carpenter, Dr. Stenhouse, Professor Owen, &c. &c. Amongst the few subjects in relation to medicine, we may mention that Dr. Daubeny, of Oxford, exhibited a set of small grain weights, for weighing medicines, made of the new metal "aluminium," for which it seems peculiarly adapted, by its very superior brilliance as a metal, and its great lightness: so that th of a grain of strychnine, for instance, may be weighed with a weight as large as the present grain weight of the surgery drawer. The aluminium weight also does not contract rust or verdigris. A new compound of chlorine, analogous to the allotropic condition of oxygen in ozone, was exhibited by Dr. Andrews, of Belfast, and may hereafter be tound to play an important part in the theory of disinfection and deodorization by speciality.

OBITUARY RECORD.-Died, at Brighton, November 19, 1855, aged seventy-four, THOMAS COPELAND, Esq., author of the well-known work "On some of the Princi pal Diseases of the Rectum."

at Brussels, M. BERGER, Dean of the Accoucheurs of that city, who is said to have delivered at least 20,000 women.

at Paris, M. LOUIS GONDRET, aged 79, known by his advocacy of the use of ammoniacal preparations in amaurosis, &c.

at Vienna, after a short illness, in the 64th year of his age, Dr. A. DE ROSAS, Professor of Ophthalmology and Director of the Ophthalmic Clinic of the University. He spent thirty-six years in teaching his

[merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][ocr errors][subsumed][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small]

New Surgeon Extraordinary to the Queen Medical Students

[ocr errors]

30

30

[ocr errors]

32

32

The Winter in England

[ocr errors][merged small]

30

Obituary Record

[ocr errors][merged small]

CLINICS.

Statistical Report of the Principal Operations performed in the London Ilospitals during the month of September, 1855

MEDICAL NEWS.

Domestic Intelligence.- Lard as an Antidote to Strychnia

Death from Chloroform

Ovum in Ovo

Philadelphia County Medical Society Northern Medical Association

[ocr errors]

Philadelphia Hospital for Diseases of the Chest 30
Obituary Record

BROWN ON SURGICAL DISEASES OF WOMEN,

CLINICS.

Statistics of the Principal Operations performed in the London Hospitals during the month of September, 1855.

Lithotomy.-Number of cases, 9; recovered, 7; under treatment, 1; died, 1.

Case 1. A delicate boy, aged 3, under the care of Mr. Cock, in Guy's Hospital, having had symptoms of stone for about three months. A soft calculus, about the size of a nutmeg, and which broke down in removal, was extracted. Recovered quickly. Case 2. A man, aged 25, under the care of Mr. Statham, in University College Hospital. He was in good health, but had suffered from stone for six or seven years. A lithic acid stone, the size of a pigeon's egg, and coated with phosphates, was removed. Doing well. Case 3. A healthy boy, aged 8, under the care of Mr. Birkett, in Guy's Hospital. A large and very rough oxalate of lime calculus was removed. Recovered well. Case 4. A boy, aged 3, in fair health, under the care of Mr. Spencer Smith, in

SIXTEEN PAGES.

St. Mary's Hospital. His symptoms had been severe only for three weeks, but had existed slightly for a year previously. A lithic acid stone, the size of a chestnut, was removed. Recovered. Case 5. A boy, aged 5, was admitted into St. Bartholomew's Hospital, with all the symptoms of stone in the bladder. On introducing the sound, a hard substance was detected in the membranous urethra, beyond which, however, by a little manipulation, the instrument might be passed. The day after admission, retention of urine occurred for the first time, and was easily relieved by the catheter. On the following day, however, it again occur. red, and Mr. Paget now determined to cut down on what was believed to be the im. pacted stone. The usual incision having been made, a calculus the size of a small horse bean was removed from the urethra, just anterior to the bladder. The lad recovered well. Case 6. A man, aged 52, under the care of Mr. Hawkins, in St. George's Hospital, on account of stone in the bladder, previous to the symptoms of which he had

Published monthly by BLANCHARD & LEA, Philadelphia, for One Dollar a year; also, furnished GRATUITOUSLY to all subscribers of the "American Journal of the Medical Sciences," who remit the Annual Subscription, Fire Dollars, in advance, in which case both periodicals are sent by mail free of postage to the subscriber.

In no case will this work be sent unless the money is paid in advance.

VOL. XIV.-2

suffered from stricture. The usual opera- Mr. Stanley, having fallen on his head, tion was performed, and three stones re- from a height of twenty feet. At first, the moved, all of them incrustations of phos- symptoms were those of concussion only, phates around some harder nucleus. Abut, soon afterwards, they passed into those large portion of broken bougie, covered of compression. The head having been with phosphatic deposit, was also taken shaved, no irregularity of the bone could be away. The man recovered well. Case 7. detected; but there was a large, puffy swell. A healthy boy, aged 5, under the care of ing over the anterior inferior angle of the Mr. Tatum, in St. George's Hospital. A right parietal bone. Mr. Stanley cut down small lithic acid stone, incrusted with phos. over this part, and trephined. The outer phates, was removed. Recovered. Case 8. surface of the dura mater, when exposed, A healthy boy, aged 4, under the care of bulged into the wound, and became very Mr. Pollock, in St. George's Hospital. A tense, and a puncture, with a narrow scalsmall stone, consisting of lithates, was re-pel, was accordingly made. A large quanmoved. Recovered. Case 9. A man, agedtity of dark fluid blood flowed from this 37, under the care of Mr. Hawkins, in St. (opening, but its escape in no degree beneGeorge's Hospital. He was much out of fited the man's condition. He sank and health, and the subject of diabetes insipidus. died about six hours after the operation. A large, friable, phosphatic concretion was Ligature of Arteries-Case 1. A man, removed, piecemeal, and a mulberry-stone aged 26, under care in the London Hospital, of considerable size, which had probably had had his right thigh amputated on acformed the nucleus. The man sank after count of compound fracture. He was doing the operation, and the autopsy showed ex-well in every respect, when suddenly, six tensive disease of the kidneys.

Trephining of the Skull.-The case left under treatment by last month's report, has ended in recovery.

weeks after the operation, most profuse arterial hemorrhage from the stump took place. Mr. Ward was called to him, and finding him in extreme collapse, pulseless, and cold, determined to at once put a liga{ture on the femoral, high up. He preferred this operation to attempting to tie the vessel in the stump, from the belief that the latter procedure would involve some loss of blood,

Case 1. A man, aged 32, of intemperate habits, under the care of Mr. Cutler, in St. George's Hospital. Three weeks before the operation, he had suffered a scalp wound, which had been neglected, and now resulted in abscess (Pott's puffy tumour). The diag-which it was evident the man could not nosis of pus between the dura mater and bear. On the operating table another bleedbone having been formed, the trephine ing occurred, the blood flowing from an unwas used. Matter was found occupying the healed sinus in the inner part of the stump. position expected, and also infiltrated into The ligature was placed on the common the diploë of the bone. A second abscess femoral just below Poupart's ligament. having formed beneath the pericranium, on The man rallied, and progressed without the same side of the head, at a different drawback afterwards. The ligature came spot, the trephine was also applied there. away on the sixteenth day, and he may now This was three days after the first operation. be considered well. Case 2. A woman, No matter was found beneath the bone. aged 21, admitted into St. Bartholomew's, Death occurred ten days after the first ope- having divided her radial artery on a piece ration, and at the autopsy, a large collection of glass. Mr. Jowers (House-Surgeon) of matter was found between the visceral placed a ligature on its proximal end, which arachnoid and brain. Case 2. An adult alone bled. No further hemorrhage ocof unknown age, was admitted, undercurred, and the wound healed well. Case 3. Mr. Prescott Hewett's care, into St. A young woman was admitted into St. BarGeorge's Hospital, with a severe compound tholomew's, having thrust her hand through and comminuted fracture of the parietal bone. A large portion of loose bone was removed by the elevator, and in it was seen the groove of the middle meningeal artery, which had been lacerated. The man died. Case 3. A man, aged 28, admitted into St. Bartholomew's Hospital, under the care of

man,

a pane of glass, and divided the ulnar artery and nerve and the flexor carpi ulnaris. Mr. Jowers enlarged the wound, and tied both ends of the vessel. Recovery, with some loss of sensation, followed.

Herniotomy.-Number of cases, 10; recovered, 6; under treatment, 2; died, 2.

Mr. Cock's patient, in Case 4 of last month's report, has since lett the Hospital well. The artificial anus had closed.

The

Gowland, in the London Hospital, on account of a femoral hernia, which had come down after an attack of diarrhoea. Stran. Case 1. A man, aged 62, was admitted gulation had existed twelve hours. The sac into St. Bartholomew's Hospital, under the was not opened. Opium treatment. Reco. care of Mr. Lloyd, on account of a large very without a bad symptom. Case 6. A scrotal hernia on the right side. He was woman, aged 45, under the care of Mr. cold, and in such extreme collapse, that the Pollock, in St. George's Hospital. Hernia propriety of attempting an operation was femoral, of small size. Strangulation had doubted. Strangulation had existed three existed 24 hours. The sac was opened, and days; there had been stercoraceous vomit-found to contain only omentum. The wound ing and extreme pain. Mr. Lloyd attempted has since been affected by phagedæna, but the taxis, and succeeded in considerably the patient is now doing well. Case 7. A diminishing the size of the tumour. woman, aged 35, under the care of Mr. reduction not being satisfactory, however, Hawkins, in St. George's Hospital. Hernia an operation was performed, and the sac femoral, small, strangulated three days. opened. In the sac was found a large coil The sac was opened, and found to contain of large intestine, containing indurated inflamed small intestine. Phagedæna has feces. The intestine being adherent, could since affected the wound, but is now sub. be only very partially reduced; its consided, and the patient is doing well. Case tents were. however, squeezed out. The 8. A woman, aged 55, under the care of Mr. stricture did not require division, as it Stanley, in St Bartholomew's Hospital, readily admitted two fingers. Brandy and having suffered for six days from pain in the beef tea were afterwards given. The man abdomen, constipation, and sickness. There rallied. and recovered without a bad symp. was a small, rather hard tumour in the usual tom. It is probable that the portion of bowel situation of femoral hernia, on the right side. involved was not far from the rectum, as all The taxis having failed, Mr. Stanley at once attempts to administer enemata failed, and had recourse to the operation. The saphen. when the finger was passed up the bowel,ous opening having been exposed, Mr. Stan it was felt to turn sharply away towards the right side. Cuse 2. A woman, aged 63, under the care of Mr. Gowland, in the London Hospital. Hernia femoral; strangulated four days; symptoms severe. The sac was not opened. Opium treatment for four days, then a dose of castor oil. Reco-tumour, whether hernial or not, had no very. Case 3 A man, aged 20, under the care of Mr. Hillman, in the Westminster Hospital. Hernia inguinal; strangulated eight hours: sac opened. Recovered without a bad symptom. This man had been operated on a year ago, on the same side, and had remained without protrusion until the present occasion, although not wearing

a truss.

Case 4. A woman, aged 44, under the care of Mr. Ward, in the London Hos. pital. Hernia oblique, inguinal; strangulated fifty-seven hours; sac opened. The sac contained adherent omentum, and a knuckle of highly congested small intestine. The neck of the sac having been divided, and the adhesions separated, reduction of the whole was effected. Opium treatment was pursued, and the patient recovered without a drawback. The wound was quite healed on the tenth day. Case 5. A woman, aged 35, under the care of Mr.

ley observed that it was in quite a natural condition, and that the tumour was lower down and further outwards than usual. The cribriform fascia having been next dissected away, and the falciform border of the fascia lata exposed, it became evident that the

connection with the femoral ring. Further dissection proved it to be a hernia which had descended in the femoral sheath in front of the vessels, and had forced its way through a small opening, anteriorly. The sac was opened, and a small knuckle of intestine which it contained was returned. The stricture was not very tight. The woman recovered without a bad symptom. Case 9. A man, aged 71, under the care of Mr. Luke, in the London Hospital. Hernia scrotal, of large size, strangulated fourteen hours. The taxis had been greatly abused prior to admission, and emetics had been given. The tumour was very tense. The stricture could easily be felt, as a band crossing the sac, but this having been divided, reduction still could not be effected. The sac was now opened, and found to contain small intestine, extremely thickened and congested. Al. though the finger might be easily passed

« AnteriorContinua »