On visceral hæmorrhages in stillborn children : an analysis of 130 autopsies being a contribution to the study of the causation of stillbirth / by Herbert R. Spencer.

  • Herbert Ritchie Spencer
Date:
[1892]
Catalogue details

Licence: Public Domain Mark

Credit: On visceral hæmorrhages in stillborn children : an analysis of 130 autopsies being a contribution to the study of the causation of stillbirth / by Herbert R. Spencer. Source: Wellcome Collection.

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    much cgd. both in apices (several black-red) and around bases of pyramids. Case 47.—F., 4 lbs. 4 oz., 19 in.—Placenta praevia ; version folloiced by natural delivery, only slight traction being used to check hge. L. leg bluish and hard ; slight hge. into its cellular tissue, also into erector spinae, none into sterno-mastoid muscle. Peritoneum contains a little yellowish serum. Almost the whole of upper surface of R. lobe of liver is covered with a black hge., raising up the capsule (traction was made by right leg, the left being extended). Kidneys much cgd., especially tlie bases of pyramids ; the cgn. ex- tends some distance towards apices of pyramids ; slight hge. into cellular tissue of hilum. Supra-renals cgd. L. pleura contains a little reddish fluid ; both lungs cgd. at bases, the L. much more than R.; hge. into thin edge of base of L. lung; some Tardieu’s spots. [Microscope shows thick layer of blood raising up pleura from thin edge of L. lung, and blood in alveoli and bronchioles, PI. VII.] A little blood in scalp, no oedema. Great oedema of brain and meninges ; no hge. Case 48.—M., 4 lbs. 13 oz., 19^ in.—Footling ; natural delivery ; cord pulseless on arrival of attendant. Parietal bones depressible below squamous part of tem- poral. Disseminated hges. in cellular tissue of scalp, little oedema. Hge. on surface of hemispheres (? caused by moveable parietal bones) and at base ; blood in R. lateral ventricle, not in L.; no hge. in brain substance. Scrotum oedematous, bluish ; testes much cgd., slight hge. ; spermatic veins much cgd., and they pass up to a large hge. at the inner side of the hilum of each kidney. Extensive but thin hge. on upper surface of R. lobe of liver, beneath capsule ; supra-renals much cgd. Intestines greatly cgd. Slight excess of yellow fluid in pericardium. Cgd. thin edge of lower lobe of each lung, especially L., which was black from hge. into its tissues. Hge. into arachnoid