Volume 1

Én︠t︡sikloped̄i︠︡ia prakticheskoĭ medi︠t︡siny / M.T. Schnirer i N. Vierordt ; podʺ redak︠t︡sīeĭ V.V. Podvyso︠t︡skiĭ i L. I︠A︡. I︠A︡kobzona.

Schnirer, Moritz Tobias, 1861-

Date:: 1908

Credit: Én︠t︡sikloped̄i︠︡ia prakticheskoĭ medi︠t︡siny / M.T. Schnirer i N. Vierordt ; podʺ redak︠t︡sīeĭ V.V. Podvyso︠t︡skiĭ i L. I︠A︡. I︠A︡kobzona. Source: Wellcome Collection.

190/818 page 182

$EHÖ a ^epest H^KOTopoe BpeMa iio- cjrliflyeTi. h npopuBt KHapya{n, T.-e. paspLiBi. Tpyfiu, B-L OflHOMT> II TOMT> HCG CJiyqa'fe. TaKIIMB oöpasoM'B, CT> aflaTOMiiEecKOÖ toekb spiniH, 6hjio 6u coBepiuenno HSJiHuiHe pa^jiiiEaxB TpyfiHLifl bli- KnauiUB H paapuBB, h6o bo mhofiixb cjiyEanxB BB ocHOßi oöonxB BpoiteccoBB jieacaTB oäiih h Ece aeaxoMHEecKifl iiaM'tHeHifl. llo cb KJiiiuiiqe- CKoft TOEKH apinifl paajiHEaxB hxb neoöxoflHMO nOTOMy, ETO K.lHHlIiieCKie CHMnTOMU, KaKB MM yBiuHMB najiBiiie, bb ßojiLiiiHncTBij cjiyqaeBB 6m- BaiOTB coBepmeHHO pasjinEHMMH iipn o6ohxb I 9TIIXB npon,eccaxB. IIoMnMO TixB cjiyyaeBB, Kor^a paspMBB iipoHcxoÄHTB BO BanpaBJieniio kb cbo- Öoaiioft nOJlOCTH ÖpiOmilHM, OHB M0JK6TB TBKace ' npoHcxoÄUTB no nanpaBjieHiio kb mnpoKoö CBasK'fe, Meacfly ancTKaMH ea; KpoBonaamnie codepexca Tor^a BB KJitxqaTK'Ii Meacay jincxKaMH uiupoKofi MaxoEHoä CBflSKH, H oöpasyexcxi KpoBSHaa onyxoaB (haematoma) Bxofi CBflSKn.EcaHiipoHaomaoKpoBons- jiianie bb öpiomnyio bojiocxb aepesB npocBixB xpyÖM iipn BMEnAMuit HEU HenocpeflCXBeHHo, xo kpobb co- ÖHpaexcfl CHaaa.ia bb caMofl hhskoiI xoant öpioiuüH- iiaro MtuiKa, x.-e. bb JlyraacoBOMB npocxpaHcxB'fc.' Bb nepBoe BpeMfl mm HMteMB xor^a fl'ijio co cbo6oa- : iiMMB KpoBOHSJiianieMB, h caMO KpoBOxeqenie, ecaii OHO Äocxurjio oaeHB öoaBumxB pasMipoBB, Moa{exB aaace bbcxh kb CMepxn. Ecan jkg KpoBOHsaiaiiie ' 6yaexB npoHcxofliixB MeflaeHHO, noBxopaacB tiepesB * uiKOxopMe npOMeiKyxKH BpeMeiiH, paBnaiomieca j iiOÄ^iacB HicKO-iLKiiMB HefliaAMB, XO KpoBt ycii-fe- i BaexB CBepHyxBCfl, n MoacexB aame nponaofixH! ocyMKOBanie. Bb nocaisHeMB cjiyaa't roBopaxB ü KpoBflHOÖ rpMac'fe (haematocele). CBOÖoanoe ‘ KpoBoaaaiaHie ii KpoBflHaa rpMaca noaxoMy iie OADO H xo ace, noxoay axo xoatKO ocyMKOBan- H 0 e KpoBoiisaiame sacayaciiBaexB nasBania hae- matocele. 9x0 ocyMKOBaaie, nonaxHo, ne BcerAa OKOHaaxeaBHoe. Bo MHornxB cayaaaxB cyMKa mo- acexB npopMBaxBca oöiiatHMMii noBxopHMMn KpoBO- xeaeaiaMH, Bcahflcxßie aero saiioBO MoacexB o6pa- soBaxLca KpoBoiisaiaHie bb CBodoanyio noaocxB öpiomiiHM. iicHoe flhao, axo, aiMB Meaaeanie h3- aiiBaexca KpoBB, x^mb Bhpiihe npoHaonflexB o6pa- 30Banie KpoBaaofi oiiyxoaii. Boxb noqeMy mbi npn , xpyöfiOMB BMKHflBimh Bcero aame naxofliiMB Kpo-1 BAHMa onyxoaii, xor^a kakb iipa paapMBh xpyÖM KpoBB, ÖeanpenaxcxBenHo iisaiiBaacB bb cBOÖojinyio iioaocxB öpiomHHM, piace AaexB boboäb kb o6pa-' BOBaHiio haematocele; Bce ace h iipH pacpMch xpyÖM Bcxphaaioxca npa HSBhcxnBixB oöcxoaxeaB- cxBaxB KpoBAHBia onyxOAH. KpoBB naxoAHxca noaxH Bcerfla bb Jl,yraacoBOMB iipocxpaiicxBi, aaiiiB BB phaKHXB cayaaaxB mbi ee naxoanMB bb iiepeflHCMB KapMaHh öpiomiiHM. Bb nepBOMB cay- aah roBOpHXB o haematocele retrouterina, bo BxopoMB—0 haematocele anteuterina. Hbb aiiaxoMH- yecKaro iioaoacenia xpyöB cxaHOBHXca Bnoanh iio- HHXHoft npeoöaaaaiomaa aacxoxa saMaxo'iiiMXB KpoBAHMXB onyxoacö. Ecaii ace Boo6m,e ne HMhexca CBOÖOAHaro ^yraacona npocxpancxna, BcahacxBie ero sapameiiia aaa C3ihin,eHia ciofla ;tpyrnxB op- ranoBB, iiaii ecaa xpyöa cb caMaro naaaaa ya{e aeaciixB ne caajta bb J],yraacoBOMB npocxpancxBh, a ciiepejtH, xo moikcxb oöpasonaxBca haematocele anteuterina. Ho ii o6i <{)opMM Bcxphuaioxca oaho- BpeMeuHo, KorAa ocyMKOBMBaiomee sanpnixie ca- Moft ray6oKoft aacxn Öpioiiiniinaro npocxpancxna iip0H30ÖAexB H a a'b MaxKOÜ. Iipn xpyöiiOMB bm- KBAumi öaxpoMuaxMM KoneuB xpyÖM iiorpyacaexca BB HsaHBmyioca Kpom>; ecaa bckpmxb KpoBanyio onyxoaB h BunycxaxB h3b nea KpoBB. xo ocxanexca oöpaaoBannaa hbb (JuiÖpiina cyMKa, na Koxopoä bha- nhexca oxBepcxie xpyÖH, a BOKpyiB Bxoro oxBep- cxia aeacaxB öaxpoMKii na noAo6ie aKXHniii (Mop- CKoli anaiii). Ecaii paspHBB npoHBOÖAexB xakiimb o6pa30MB, nxo aepesB cpaay oöpaBOBaBuieeca ÖoaBmoe oxBepcxie bb xpyöi BMCxyniixB Bce aöii,o CB ero oöoaoaKaMii, xo MoacexB cayaiixBca, nxo Iipn öepeMennocxn cxapme 3 Mhcai],eBB iiocahA'i» ocxanexca bb xpyöh, a afin,o öyAcxB npoAoajKaxB CBoe paBBHxie MeatAy KiimeanMMH nexaaMii; H'hiK- BMA, noBepxHocxHMa cKaefiicii MeacAy afin,OMB u ceposHoö oöoaoaKoä icnmeKB oöpasyioxB xoi'Aa ninxo bb pOA'h Kancyani BOicpyrB BMCxyniiBmaro iiBB xpyÖM aöu,a, ii niixanie iiocaiAnaro nponcxo- AHXB nepeBB nyiioBnny. Ecaii BnocahACXBiii iiaoab yMpexB, xo oKoaonaoAnaa acHAKOcxn BcacMBaexca, a nacxo xanace paacacMBaexca n KycoKB nyno- BHHH oxB M'hcxa BbixoAa afin,a ao BXOAa bb naoA- HMÖ MiiiioKB, H xoPAa MM HaxoAHMB afiii;o, OKpy- acennoe cboiimh oöoaouKaMH, MeacAy KiimeuHMMn nexaaMH, a iiocahA'B cb ocxuxkomb nynoBiiHM bb CBeaoiBmefica xpyö'h. Tama BxopimnMa öpiornnma B H, KaKB HXB naBMBaioxB, anöo MoryxB aoxoabxb AO iiopMaannaro kohaa, anöo ace naoAX> yaiipaexB AO cpoKa II noABepraexca BHineynoManyxoMy iipo- n,eccy CMopmnBaiiia n ocyMKOBania. Ho n 6e3i» paBpuBa, II 6eBB BbiiciiAMma B. bb xpyöh MoacexB Aoöxii AO B X 0 p 0 ö II 0 a 0 B u H M II Aaace nonxii AO nopMaabnaro CBoero cpoica. Kb KOiin,y öepeMen- Hocxii noABaaioxca xopäh coKpamenia, Be^ymia kb CMepxn naoAa. CoitpameniaMn, nacxyiiaiomnMn ne xoabKO BB xpyöh, no n bb MaxKh, hbb nocahA- neö uBronaexca oxiiaAaiomaa oöoaonita (decidua); Aaace bb bxoxb noBAnih cpoKB B-ii MoacexB eme oÖpasüBaxBca paspMBB n KpoBOHBaianie n nacxy- nnxb CMepxeabiibiÄ hcxoax., naii :ko naoA't nocah CBoefi CMepxn noABepraeica perpecciiBiiMMB nBMh- iieniaMB. Cammmb öesonacnMMB hbb bxhxb H3Mh- neniö aßaaexca o6pa30Banie xhkb naBMB. oKaMe- nhaaro naoAa (lithopaedion): bb napyacHMXB caoaxB KOJKn n bb aön;eBMXB oöoaouKaxB oxaa- raioxca coan nsBecxn. Tanoä naoAB :Kenui,nna MoacexB HOCHXb AccaxKH ahxB 6e3B AaabBiiömnxB BB ncMB H3M'hneHifi; oAnaico, ohb ne rapanxnpo- BUHB OXB onncbiBaeMMXB nnace imMineniö, bo3- MoacHbixB H BB xaKHXB caynaaxx.. TopasAO naiii,e ÖbiBaex'b, nxo oxb nnhApenia MiiKpooprannsMOBB H3B KiimeKB nacxyiiaexB narnoenie bb flfiu,eBOMB MhiiiKh nocah cMepxn ii.xoAa. lIaoAx> Mau,epnpyexca, paciiaMnaexca, n xoabKO kocxhma nacxn xhaa ocxaioxca. riiofinbin MhmoitB npoKaaAWBaexB ce6li Aopory nepesB öpiomnbia cxhunn, nepesB uaara- anine, bb MoneBoii iiyaMpn nan BBicnmicn. Hsrna- nie oxAhabHMXB nacxefi cneaexa iipoiicxoAHTB mba- aenno, bb xeneuie MHonixB MhcaneiiB n ahxB; BcahACXiiie iiocxoannaro BbiAhaenia rnoa opra- HH3MB Bce Öoabiiie ii öoabme ii.siiypaexca, ero co- iipoTiiBaaeMocxb naAaexB, ii Miioria acenmniiM yMH- paioxB OXB ÖyropaaxKii npeacAC, nhMB öyAOXB H3- rnanB BecB naoAB.—CMivmTOMbi n pacnosHaBaHie xpy6- Hoft B-n (n6o xoabico o neö MoacexB haxh BAhcb phnb, noxoMy nxo anannKOBaa B. KanHiinecKii eABa an Aocxynna pacnosnaBaniio, Koxopoe MOJKerb ÖMXb nocxanaeno aniiib iipii xiu;axeabHOMB iisyne- nin noayneniiaro npenapaxa nan na xpynh) caa- raioxca h3b ciimiixomobb depeMennocxn BOo6iu;e n oÖBeKXHBnaro naxoacAonia naOAnaro Miimna nnh MaxKH. MeacAy CHMnxoMaMU ÖopeMennocxn n SAhcb nepBoe M'hcxo sannMaexB oxcyxcxßie M'hcannMXB; npn axoMB MoryxB 6mxb Ha-ani;o n APyrie cy6x>- eKXBBHMe H OÖBOKTHBHMe npHSHaKH ÖepeMeHHOCXH; MoaosHBO BB rpyAAXB cymecxRyexB bo MHornxx.$