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
Licence: In copyright
Credit: Én︠t︡sikloped̄i︠︡ia prakticheskoĭ medi︠t︡siny / M.T. Schnirer i N. Vierordt ; podʺ redak︠t︡sīeĭ V.V. Podvyso︠t︡skiĭ i L. I︠A︡. I︠A︡kobzona. Source: Wellcome Collection.
69/818 page 61
![121 ciipyiOTB. Ciofla npnHajiJieacaxT,, npoK^e Rcero, TUKB uasHBaeMLia a h r i o c a p k o m bi, KOxopBia xeiiepB uaaHBaioxcfl c o c y p; h c x bi 3i n 9Hpo- X 0 Jii0M aM u II II e p II X e Ji i 0 M a M H. Pocxx> axiixx. onyxojieil ÖBiBaexB aacxo ÖBicxpBifi, ho iiepaBno^rfep- HBiö BO Bcfexx> HaiipaBJieniHXB. >[BJieuiH upii najiB- iiapiii u BBicjiymnBaHiH splicB plisKo oxjiiiHaioxca ox'fc A-h. TaKB, nopX) BJiianieM'B iipinKaxia. oiiy- XOHB MOIKeX'B 6bIXB yMOHBIUeua JIIIIIIB pO II3- B'fecxnaro iipepi.ia. HanöojiBuiiH piarHOCxiniecKia xpypHOCxu MoryxB iipepcxaßnxB iiyaBciipyioipia ocxeocapKOMBi. Ilpncyxcxsie Kocxnaro Baaa bb oKpyjKHOCxii onyxoaii jioiKexx. iiiioh paax. naBecxii pacnosnaBanie aa iicxuuHBin iiyxB. lleoßxopiiMO oöpaxnxB BHiisiaiiie iia BHaaeiiie papiorpa(|)ii- aecKaro iiBcatpoBaiiia npii nopoÖHaro popa oiiy- xoaaxB. AöcpeccLi ii khcxh, a xaKHce xBeppBia oiiyxoaH b6pu3ii raaBHaro apxepiaaBnaro cxBoaa MoryxB upepcxaBHXB coo6menHyio nyaBcapiio. Te- aenie 6oai3HH ii npopoaaiiixeaLHoe Haöaiopenie iiMtioxB GoHBUioe BHaaenio paa pacnoBnaBania. UcoöeiiHO BaiKHO oxcyxcxßie yBienBiuoaia oßBema npn paBaenin ii piBKoa rpaHiipBi. llpiiacaxie co- oxBixcxBennaro raaBHaro cocypa nncKoaBKO ho iisMiHaexB CBOÖcxBa onyxoan.—npepcKasaHie. A-x> Haxopnxca bb saBiiciunocxii oxb ^oaoa^e^ia, paB- HOCXH cymecxBOBania h oxb ocaoiKneniö bb OKpyiKHOCxn A-bi. Ecan ne canxaxB MosroBUXB _ap- xepiil, xo npepcKaBanie ßypexB x'tiiB ßaaronpiax- iiie, aiMB MeHBine nopaaieHHBie cocypia. A-h ap- xepifl, aeacaipnxB bb 6oaBiuiixB noaocxaxB x'J&aa, paioxB Booöme xypmee npepcKasanie, neiKean na iiepncJiepnaecKnxB cocypaxB.—iltMCHie A-h moikoxb HMliXB xpn BecBMa paaanBHHXB HanpaBaenia: 1) j],i3xexnaecKoe iiaii alacapcTBeeHoe aiaenie. 2) UpieaiH, Koxopne iimIiiotb piiaBio BHSBaxB cBepxHBaHBo II oöanxepapiio aneBpHSMaxiiaecKaro MtuiKa. 3) MexopH, npn noMoipn KOxopnxB A. ypaaaexca ii3b xiaa. i) CnocoÖB Valsalva- Ä1 b e r t i n i aaKaioaaexca bb xomb, axo npii no- jioipn aO/Eauia bb nocxeau, KpoBonycKania n ro- aopa cxpeMnancB BHSBaxB saMepaenie Kpoßanoro TOKa n yMenBiuenie Kpoßanoro paBaenia ii bo3- öypnxB, xaKiniB oöpasoMB, caMonponsBoannbie iipo- peccBi cBepxi.iBania bb A-i. Hbb abKapcxBB pa- naan Baacym,ia, naKB, nanp.: xannnnB, KBacn,Bi, yKcycHOKHcaBift CBnnepB, iian cpepcxna, pbil- cxßyioipia na cocypncxyio cTbiiicy, KaKB; cnopBiHBio, iian, iiaKonepB, öeaaaponny, naiiepcxaiiKy ii ano- nnxoBBio npenapaxH. Beci.Ma yuoxpo6iixeaBHoe cpepcxBO BiiaoxB po noBinmaro BpoMcnn cocxa- BaaexB i o p n c x h ö k a a i li, nopB BaianiejiB Koxoparo MHorie naöaiopaxeari KoncxaxnpoBaan ocxanoBKy pocxa A-bi. IIponncHnaioxB iopncxHfi Kaaifi iiaii iopncxBifi naxpifi, Mopaeiino noBumaa P03BI, BB KoainiecxBi 1—6 rp. pro die. 2) Kb 3xofi Kaxeropiii oxnociixca öoaBiiiiiHCXBO MexopoBB, BooCipe ripepaoaceniiBixB cb pbaBio abneiiia A-h. idbcxHoe npHM'fciieiiie xoaopa (iiysBipB co aBpoMB iiaii Leite r’oBCKin oxaaacpaioui,ifi aniiapaxB) ßea- ciiopiio 0Ka3HBaexB xopomee CDMnxojiaxn'iecKoe P'bücxBie, uo cxoÜKaro pesyaBxaxa hmb pocxnr- iiyxB ueaB.3a. IIpoii3BepeHH CeaancaennBie onnxBi co BiipHCKiiBaniesiB BeipecxBB, cnoco6cxßyioiii,iixB cBepxBiBaniio; mh nasoBesiB aaKoroan; pybiiaB- uyio Kncaoxy, xaopncxoe jKeafeo n (jiiißpniKjiep- MenxB. Ho Bci 9xn Jiexopn bb BBicmefi cxeiiemi oiiacHBi H 6o3ycaoBno neponycxiiMH bb nnpy Kpannefi onacnocin BHSBiBa.esiHXB iiJiMiiHorpa BMöoannecKHXB npopec- c 0 ß B. H'bcKoaBKO niiane oÖcxohxb p'bao cb nop- KOHiHBiMB BnpbicKHBanieMB cpepcxBB, cyacnBaio- ipnxB cocypH n cnocoßcxBylomHXB cnepxHBaniio.BB xo BpeMa, KPKB npepaoJiceHHHa Lang'enbeck’oMB I BiipBiCKHBania aproxiina epna an k1>mb npaitTH- Kyioxca, MHorieBnpHCKUBaioxBxeiiepB pacxBopH 3K e a a X II n bi. BiipBicKiiBaioxB uopB Koacy öeppa, jKüBoxa iian cnnnni, npii caMOMB cxporoMB cooaio- pcniii acenxnaecKHXB upepocxopoacnocxefi, 200 k. c. cxepiiaii3üBannaro 1—20/o pacxBopa jKeaaxnnn. OiiiicaiiB pkaHÜ papB öaaroiipinxHbixB cayqaeBB; HO cpiiaaiiH önau xaKine BecBMa anepmanHa Boapaacenia. Ocoöenno MHoroancaeiiHH ßnan no- iiHXKn BBepeuia imopopnHXB xbaB bb aneBpiis- MaxiiaecKin mLiuokb cb pbaBio BH3BaxB bb hbmb CBepxBiBaiiie KpoBii. Opnaico. ii axii MexopH cxpa- paioxB aöcoaioxHO bcL KpyiiuBiMii nepocxaxKaMii, H3B KOIIXB CaMBift CepBe.SHHH—OIiaCHOCXB 9MÜ0ain BB BaauiHXB pan acnann opranaxB. TaKOBBi; nraoyKaaHBanie, 9.ieKxponynKxypa, BBepenie aa- COBHXB npyjKiiHB, MexaaaiiaecKon iipoBoaoKH, Kn- lueaHBixB cxpyiiB, KoncKaro Boaoca, fil de Florence. IIomhmo onacnocxn, 9XH MexopH ne upnHocaxB nnKaKon noaB3H. Boake npaBiiaBiia MHcaB poöiixBca Hcpbaenia nyxeaiB iipn- acaxia caMoö onyxoan iian pbaaro aaena, nan, naKonepB, npiiBopaiparo cocypncxaro oxpLaa. Hooxojiy m e- xopBi iipiiacaxia saßoeßaan ceö'b npoanoe noaoatenie bb xepa- nin A H H po ciixb nopB npiiM'b- naioxcH CB ycnlixoMB. AimapaxBi BB diopMi neaoxoBB, Esiuarch’oß- CKiö cHCHMaioipift önnxB, paBae- nie npn noMOipH rpyaa n npoa. iipii- napaeacaxB kb oöaacxn nucxpyMeu- xaaBnaro npnataxia. Ho aaipe Bcero iipHMbnaexca naaBpeBoe iipiiataxie A-b. IIpiiBopaipaa apxepia bo3- MoacHO Kp'bnae npnatnMaexca kb ea nopKaapK'b, npiiaeMB Baacno, axo- 6h KaKB öoaBHoii, xaKB n npona- Bopaipiii npnJKaxie BaHHMaan ypo6- Hoe noaojK.enie. Hpnacaxie npopoa- acaexca pfeane aacbi csitnaioipn- Mnca aiipaMii, n paBaenie poaacno 6hxb anuiB nacxoaBKO ciiaBHO, axoÖH nyaBcapia BB caiHMaejiOMB cocypL npcKpaxiiaacB. Bb coh- HHXB apxepiaxB npnacaxie MoacexB EH3Baxb iiy- xeMB 9M6oaiii Moaroßna aßaeiiia. Kb iiiicxpyMeu- xaaBiioMy npnacaxiio npniiapaeaaixB eipe papB cnocoöoBB nepeiiaaKH, Koxopaa paßiiOMipno ca^n- MaexB öoaBHyio KoneanocxB, naaiinaa cb nepii- (|)epiii. Ciopa ace oxnocnxca akaenie crnöa- H i e M B, Koxopoe ocnoBano na xomb (JiaKX’b, axo npn ciiaBHOMB crtiöaniii cycxaBOBB npoucxopiixB nepeniÖB raaBHHXB apxepiii, n, bmLcx'Ij cb xL.mb, onb cpaßaiiBaioxca MarKHMii aacxaMH. Kb Mexo- paMB, KOxopne iimLioxb pbaBio Bbi3BaxB bb ane- BpnsMaxnaecKOMB MkinKb npopeccBi cBepxHßanBa H oöaiixepapiii, npnnapaeacaxB paaananBie Biipn iiepenasKii npiiBopaipnxB n oxBOpamiixB cocypoBB. 0 II e p a X IIB H 0 e ii p e k p a ip e n i e ii p ii x o k a K p 0 B II KB A-'Ii ocymecxBaaaocB paaanaiiuMB o6pa303ix,: naKaapbiBaaii ii peiixpaaBiibia ii iiepii- (|)cpiiaecKia aiiraxypu, nan ace iipoöoßaan na- KaapBiBaxB aiiraxypy na iipnBopaipyio ii oxeopa- ipyio cocypncxyio xpyÖKy. llepcBasKa penxpaaBHo OXB A-h iipepaoaceiia AiiereMB, KoxopH» bxiimb cnocoÖosiB ycnkiiino aFanaB A-h aoKTCBon ap xepüi (pnc. 33). Hoc.ak xaicofi anraxypH bb aiie- Bpn.3MaxiiaecK0MB MbniKb obpaayioxca crycxKH, axo paexB xoaaoKB npopeccy iicpbaenia. Otoxb cnocoÖB](https://iiif.wellcomecollection.org/image/b28128412_0001_0069.jp2/full/800%2C/0/default.jpg)
