Diseases of the blood / by P. Ehrlich ... K. von Noorden ... A. Lazarus ... F. Pinkus ... ; ed. with additions by Alfred Stengel ; authorized translation from the German, under the editorial supervision of Alfred Stengel.

  • Alfred Stengel
Date:
1905
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the blood / by P. Ehrlich ... K. von Noorden ... A. Lazarus ... F. Pinkus ... ; ed. with additions by Alfred Stengel ; authorized translation from the German, under the editorial supervision of Alfred Stengel. 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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    Wright and others (calcium chloric!), increase the coagulability are of therapeutic value is difficult to prove, since, according to Freund, the hemorrhage itself is such a potent factor in the same regard. Yet if, as in the hemorrhagic diathesis, the diminution of the coagulability of the blood belongs to the nature of the disease, these remedies are of undoubted value in the checking of the hemorrhage. [The investigations of E. A. Wright have showed the therapeutic value of calcium chlorid as a hemostatic, and this drug has been largely used in the treatment of various hemorrhagic diseases, and has even been administered by surgeons as a preparative treatment in conditions in which secondary hemorrhage is generally feared, such, for example, as in persons deeply jaundiced. Wright's experiments made with his coagulometer showed a decided decrease of the coagulation-time after the administration of calcium chlorid. This was true of healthy persons as well as of cases of hemorrhagic disease, such as hemophilia, purpura, etc. The effect of calcium thus administered seems to be temporary, and a continued use is not advisable.—Ed.] A final styptic which fulfils other important indications at the same time (see below) is the transfusion of blood or salt solution into the circulation. Cases have been observed in which this procedure was immediately followed by a cessation of the hemorrhage (F. A. Hoffmann). This apparently paradoxic fact is explained by assuming that the con- tinuation of the hemorrhage is due to the atony of the vessels, which is rapidly removed by the sudden refilling of the circulation. General Treatment of Acute Anemia.—After the first and most important essential in the treatment of a hemorrhage, namely, its control, has been accomplished, it is necessary to combat its immediate sequelae. The greatest requirement is complete physic and psychic rest, and this should not be disturbed by therapeutic or diagnostic pro- cedures which are not absolutely necessary. By lowering the head, warm covering, and cautious slaking of the burning thirst by hot or warm stimulating drinks, such as coffee, tea, or even small doses of alcoholic beverages, like sherry and cognac, the activity of the heart is stimulated and the tormenting sensation of general weakness somewhat lessened. If fainting occurs, or if the pulse becomes excessively fre- quent, small, or weak, stronger stimulants, like injections of ether and camphor, are indispensable. The objection has been raised against these remedies, which act so rapidly and intensely on the heart, that they may be the cause of renewal of the hemorrhage which has just ceased. Although such accidents have been observed, these remedies are indispensable in the treatment of threatening or actual collapse,
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