A second season's experience of hypertonic transfusions in cholera controlled by observations on the blood changes / by Leonard Rogers.

  • Leonard Rogers
Date:
[1909]
Catalogue details

Licence: Public Domain Mark

Credit: A second season's experience of hypertonic transfusions in cholera controlled by observations on the blood changes / by Leonard Rogers. Source: Wellcome Collection.

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    writers describe the period of reaction, with recovery of the pulse after the collapse stage is over, as a very dangerous time in cholera. During the present year 9 per cent of the total cases died in this stage, or not very much less than in the collapse period. The main feature of such cases is usually a inarked rise of temperature, which either continues high, a typhoid-like state ensuing, or in very severe cases hyperpyrexia has been considerably lowered, with an early fatal result. These conditions appear to be due to absorption of toxins from the intes- tinal canal following the restoration of the blood-pressure, and are extremely difficult to combat. During the present year hyper- pyrexial cases have been unusually preva- lent and fatal both in the Medical College and the European Hospital, thus consti- tuting a special and very severe type of the disease, three out of the eight deaths in the reaction stage having been due to this condi- tion, which may come on shortly after transfusion, or not until some hours later. The cold bath appears to be the only mea- sure likely to control the temperature, but heart failure may ensue, and this of itself is an occasional cause of death in feeble subjects during reaction without any marked rise in temperature. I should mention that a slight rigor, with a temporary rise of temperature up to 103° F., is very common after transfusion, but is not an unfavorable
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