Annual report : 1934 / Society of the Lying-in Hospital of the City of New York.
- Society for the Lying-In Hospital
- Date:
- 1934
Licence: Public Domain Mark
Credit: Annual report : 1934 / Society of the Lying-in Hospital of the City of New York. Source: Wellcome Collection.
44/60 page 40
![cervix. Transfusion of 550 cc. citrated blood given during and after the operation. Following operation condition was good, pulse around 100 and blood pressure 130/80. Patient passed about 100 cc. of blood per vagina about 2 hours later, pulse the same as previously and respiration 24. An hour later the pulse became weak, 120, and patient was put in shock position. There was no evidence of internal bleeding, blood pressure 70-80/50. Respirations suddenly became rapid, pulse thready and blood pressure inaudible. She was given gum acacia, sodium caffeine benzoate, adrenalin and oxygen while transfusion was being obtained. An hour and a half later the patient became unconscious and respirations ceased. No autopsy. Death probably due to internal hemorrhage, probably from loose suture. In the vagina after death there were 500 cc. of old clotted blood. History No. 76883—Pulmonary Embolism Patient, age 34, white, para 5-0-0-3, Wassermann negative, pelvis normal, was delivered spontaneously after a labor of 13-35/60 hours of a living male infant by the Berwind Clinic. On the fifth postpartum day patient complained of pain in the left flank and left shoulder, frequency and nocturia. A provisional diagnosis of pyelitis was made. On the 11th day postpartum the temperature was 100.4° F., respiration 40, pulse 120; patient was breathing rapidly, there was slight cyanosis, lungs were nega¬ tive. Because of the increasing respiratory embarrassment, and increased pulse rate, the patient was transferred to'the New York Hospital on the 14th postpartum day with a diagnosis of questionable pulmonary em¬ bolism. After admission a diagnosis of pulmonary infarct seemed most likely from the findings at the left base of the lung of parenchymal and pleural nature. Blood culture was negative, temperature varied between normal and 38.8°C. Patient was placed in the oxygen tent. On the fourth day after admission patient was transferred to the Medical Service. The examination of the lungs showed a few rales at the bases. Patient died 1-15/60 hours after transfer. The impression was Pulmonary Embolism with repeated small pulmonary infarcts secondary to pathology in the leg veins or pelvis. Autopsy. Not Obtained. History No. 55269—Multiple pulmonary infarcts secondary to prob¬ able thrombophlebitis of right leg. Patient, age 42, white, para 2-0-0-1, Kline Test negative in 17th week of pregnancy; Kline and Wassermann Tests in the 30th week were 4-plus (patient had received antiluetic treatments 14 years previously), pelvis normal, was admitted because of antepartum bleeding November 1, 1934, expected date of delivery January 27, 1935. Diagnosis of central placenta praevia was made, a No. 3 Voorhees Bag inserted 4 days later, and medical [40]](https://iiif.wellcomecollection.org/image/b31710979_0044.jp2/full/800%2C/0/default.jpg)
