A practical treatise on uterine hemorrhage : in connexion with pregnancy and parturition / By John T. Ingleby.

  • Ingleby, J. T. (John Thomas), 1794-1845.
Date:
1832
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on uterine hemorrhage : in connexion with pregnancy and parturition / By John T. Ingleby. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    264 bulky—the pulse improved, there was no recurrence of hemor- rhage, and he left her comparatively comfortable. At two A.M. six hours afterwards, I was called up to see her on account of retention of urine. The pulse was frequent but not very feeble; there had been no return of hemorrhage; theos internum was rather flaccid, but the organ though large was firmly contracted. At two P. M. the pulse was very small and feeble, no sickness or hemorrhage, and pain over the uterine region. Prescribed ammonia and beef tea. At Ave P.M. the pulse was barely perceptible, the respiration difficult, and the countenance sinking. I determined upon transfusion with the approbation of Messrs. Blount and Knowles, who saw the patient at this time ; but before the apparatus could be obtained the patient expired. She was quite sensible up to the moment of death. The efficacy of the superacetate of lead in restraining effiisions of blood, particularly from the lungs, stomach, or intestines, has long been matter of observation. As a remedy in uterine effusions it cannot be considered so generally applicable. In cases of protracted hemorrhage however, it may be administered with great advantage, in irritable habits more especially. That any preparation of lead in a large dose is directly poisonous cannot be doubted. But this remark equally applies to many of the most valuable articles of the Materia Medica. Superacetate of lead is however a much safer medicine, taken either by the mouth, or employed as a glyster, than is commonly imagined. ]n small doses it does not act as a poison otherwise than by accumula- tion, a circumstance which denotes the impropriety of pre- scribing it in combination with opium. But whenever lead is exhibited, it will be necessary to watch its effects, and dis- continue it as soon after the hemorrhage has ceased as may be consistent with prudence ; lest in torpid habits, spasm or paralysis, either of the voluntary or involuntary muscles,