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.

82/818 page 74

$MIH» M npo^l., UpH KOTOpUX'fc HSCaiftOBaHie KpOBU ne oTKpHBaex'B hh oanoro bbt. HasBaHHwx'B h3- MiHeHifl, II KOTopufl ayaiue Bcero nasBaxL «neeBAO- aH8Mieö». CMOxpa no xoMy, snaeMi. jih mli iipaMHHy A-iii, HjiH Htxi>, roBopax'f. o Bxopiianoft iuih iiep- BHqHOÄ resp. 3cceHii,iaji&H0H (jiyniiie KpiiuxoreHe- xn^ecKOil) A-iii. Kx> nepiiofi rpyiiiili othocaxc«: 1) xpaBMaxHqecKia (nocai KpoBOxeaeinfi) A-in (icpo- BOxeaeHiH iia^L aceayAKa, KiimeKi., reMoppoHAajiB- HbiH, uocoBwa, ropxainibiff, JieroaHLia, iioaeaHbui, H3T> IIOJiOBblXB OpraHOBB II Bpoa.); 2) A-ill BCJJ'feA- cxBie MtcxaBixB n oCmHxx. öojilisiieii, KaKb, naiip., aaoKaaecxBeiiHbix'i. oiiyxojieü, öyropyaxKn, cenxn- aecKaro aapaaceHia, xponiniecKiixb saCoa^Banifl, He^piixa, nopaareuifi neqeHii, xpoanaecKaro hcao- iAaiiia ii npoa.; 3) A-in oxx^ raiicxb; 4) A-in, Bbi- BBaHHbia iipncyxcxBieMb bx> KpoBii napasiixoB'b (MaaapiÜHbie naasMOAi«, nuxnaxKH, AByycxKH ii npoa.\ Ko Bxopofi rpyiiirfe oxuocaxca: 1) xaopo3b, 2) iiporpecciiBHaa saoKaaecxEeiiHaa A. Eui,e iie Buoaulj BHacnenBoe noaoa:eHie aannMaexb A. npii ßoaisHn B a n t i. J],aa paccoaHaBania A-n kjiiihh- aecKaa Kapxiiaa iiM'fceTb cxoab jkg Bamiioe ana- aenie, Kaicb peayabxaxb nBcaiaoBaHia KpoBii. Taab, iipn paBanaHbixi. Bxopnaiibix'b A-axb, bo MHonixb cayaaaxb An(|)(J)epeHi],iaabEbiä AiarnoBb MOjaexx. Obixb nocxaB.xeHbaHuibiiyxeMbxui,axeabHaroo6m,aro Hsca^AOBaBia. lIocaliAHee aep^AKO Aaexb xaaace xo'iKy onopij onpeAijienia xaatecxn saßoaiBaHia KpoBii (oxöKH aoAbi}KeKb, KOJKHbia KpoBOHsaiania, KpoBonsaiania bx. raasnoe aho). BnpoaeMb, SA'i^cb Aaexb BajKHbie pesyabxaxbi nacaiAOBaHie caMOÜ KpOBII. IIOMnMO Öa'feAHOCXH KOJKH H BUAMMblXb canaiicxbixb oöoaoaeKb, y aHaMtiaabixb aacxo sa- M'taaexca ciicxoannecKifi myMb aii6o naA'B BC/iian cepAeaHbiMH oxBepcxiaMii, anCo xoabKO naa oco- öeiiHo acHO HaAb BepxyuiKoio cepAAa. Ilyabcb GÖbiKHOBCHHO ßbiBaoxb Maab, MaroKb n öoabiiieio 'lacxbio iiicKoabKO ycKopenb. HaAb lueäHbiMii bo- Haan cabiuiHbi ÖLiBaioxb niioft pa3b muaccxamic iiiyMbi, II—iipaBAa pfeace—BUAeH'B (oxpnu,axeab- Hbift) Bcanbift nyabcb. Hab cyöbeKxiiBiibixb aßae- iiiö SoabUbie oötiKHOBeHHO acaayioxca na oßinyio caaßocxb, ayBcxBO roaoBOKpyacciiia, AaBaenie Bb roaoB'fe, iiiyMb Bb ymaxb, oAbiiiiKy, cepAAeCieiiie 11 AnciienxiiaecKie chmiixomli. Bb xaaceabixb cay- iiaaxb A'^^Jio MOJicexb Aoxofliixb ao oßMOpoanuxb iipiicxynoBx-. CnabHoe MaaoKpoBie coaAaeib iiaoft pa3b HaKaounocxb icb icpoBoxeaeHiaMb ii Kb aabßy- Mnnypin. IIpHBHaKaMii xaateaoft A-in cayjKaxb, /lOMiiMo iiepeaiicaeHHbixb, piaKO BbipaiKeaiiuxb cnMnxoMOBb, eui;e caliAyioipie, oxKpbiBaeMbie cne- uiaabHbiMb naca'feAOBaHiejib KpoBii: yMeHbiiieHie fioalie aliMb aa noaoBiiHy coAepacania raMoraoßniia n ancaa apiixpopiixoBb, aiiusopirroab ii noMnnao- AHXoab, iipiicyxcxBie KpacEbixb KpoBaiibixb xt- aeii,b Cb EApaMH. BripoaeMb, nofiKiiaopnxoab ii aAepEbie 3puxpoE,iixLi ßoabuieio aacxbio Bcxpt.- 'laioxca aniiib Bb caMbixb xaaceabixb ^opnaxb BxopEEEofi A-in. Bb BiiA'k ncKaiOEeEia saI^cb no- iiaAaioxca Aaace rnraBxoßaacxbi. JIcmkoauxbi co- AepjKaxca oöbiKEOBeEBO iipii Exopnaabixb A-iaxb Bb EopMaabHOMb nan caeriia yBeaiiaeEEOMb aiicaf.. BaanMEoe oxEOiiieBie pasananbixb biiaob'b aeß- KOu,uxoBb npn BxopiiEEuxb A-iaxb oßbiKEOBeiiBO xaKJKe BopMaabEO, naii jkc iiSMfjnaexca Bb CMUcaii yBeanaeBia EiicaanefixpoiJinabELixbMnoroaAepEbixb aeöKOAHxoBb. TaKb, no Kpafiiieii Mtpli, oöcxonxb A'fcao npn «BXopiriBuxb» A-iaxb. lIpii xaicb eeshb. iiporpecciiBBoft saOKaMecxBCBEoö A-in, Koxopaa npoACxaBaaexb caMyio xa}Kcayio (JiopMy A-in (anaemia gravissima) n Goabmeio aacxbio nacxy- iiaexb KpiiuxoreBexHEecKH—piEve Bb ebboM <bxo- jpnEBoft» (xajKeaua KpoBOxenenia, raiicxbi [bothrioceplialus, ankylostoma n npoa.],—a xaKa:e npn xaopo3l> n ffoatsEH ßanti, Kapxnna KpoBii (ibiBaexb nicKoabKO niiaa (cm. B anxii Soji^seb).— IIpii BcaKoft ^opM't A-in Beacnaro iiponcxoacAC- iiia. AJia AiarHosa Baanio iiaca'feAonaiiie ncnpaa:- Bcnifi na afipa raiicxb ii na Kpoiib. CaljAyexb TaiwKc iioMiinxb, Exo iiliKOxopLie caynau 6yrop- naxKii BaEHBaioxca aiioMUEecKiiMn aB-iesiaMn, n Exo npn asB-k aceayAKa n pani JiceayAKa AaaeKO HC pkAKO Bcxp'kEaioxca iiOBxopBbia ckphxhe ace- ayAOEEHa KpoBOxcEeiiiii. Homemo iiepeEncaeBBHXb 3A'kcb cocxoanift o6iii,eß A-in, Gbinaioxb eiu,e cay- naii MkcxBOÜ A-in, Eoxopbie oSycaoBannaioxca BeBopiöa.’ibBbiMb* pUCnpoAiaeBieMb kpobh.—flpea- CKaaaHie paBanEBbixx. A-iil 3aBiiciiTb, cb oahoü cxopoBbi, oxb BXb iipnEHBbi, a Cb Apyroii, oxb nx'i> xajKCCxn. Bo MEornxb cayEaaxb, ne oecbb aerKnxb, BO II ne canuiKOMb xajKeabixb, oeo MosKexb 6hxb CA'kaano xoabKO na ocnoBanin 6oake iipoAcaacn- xeabnaro naöaioAeBia. ^aa npornosa, KaKb n A-^ia AiarBoaa, ne cyni;ecxByexb oxA^abEbixb naxorao- MOEEEeCKUXb CE JIIIXOMOBX.. II XOXb, E APyi’OE oniipaioxca na npaBH.EBEoe coaexanie u,'Lxoft cyMMbi peayabxaxoBb KaiiBiiEecKaro n rasiaxo- aornaecKaro BaßaioACBia.—Tepania AoaiKna 6bixi> nanpaBaena iipoxiiBb 9xioaoriiEecKaro. MOMcnxa xaMb, i'A'k nocakAsifi OEeBiiAenb (rancxbi, apoBO- xoEenia, MkcxBbia iiaii o6iu,ia saßoakBaBia). Pa- AOMb Cb DxnMii npuEEMaioxca Bck xk Mkponpia- xia, KOXopbiMb Mbl npnniicbiBaeMb ßaaroxBopnoa Baiaaie na KpoBoxBopaipie opranbi. CioAa oxbo- caxca: aaCoxa o HAopoBOMb aaiaiiink, npeßbiBanie Bb xopoiECMb, B036yjKAaioin;eMb B03Ayxk, cooxßkx- cxBeiiBoe nnxaBie (cMkiiiaimaa nim;a Bb npiax- Eoft ajib annexiixa (JiopMk, aericoBapnMOMb BHA'k n AocxaxoEEOMb KoaiiaecxBk, MaaeiibKiiMn n aa- cxbiMii nopii,iHMii), yxoAb 3a Koacen, cSepeatesie cnab B0o6ui;e. Bck 3xii ycaoßia, no MeBbmen Mkpk, cxoab ate naacEbi, Kanb n akKapcxBa. Taaceaue cayaan xpeÖyioxb nocieabnaro coAepacania, Aa n nexpyAHO - öoabEbie AoaiKiibi 6bi Öoabiiie a c- a:axb na oxicpuxo.Mb nosAyxk, nejKeaii x o- Aiixb. Bb nnmy Aoaatnbi bxoahxb Bb naoönain OBoni,H, Bb ocoSennocxn uinriEaxb, cpaBniixeabiio öoraxbiö aceaksoMb. Jlkacnie OAnnMb MoaoKOMb Boabsa npnsnaxb AOCxaToanbiMb. Hab akKapcxBb, iiOMEMO B036ya{:Aaioin,nxb annexnxb ii cnocof)- cxByioipHxb onopoacneniio EnnieaEiiKa, cxoaxb na nepBOMb naank npenapaxbi MbiinbaKa, aaxkMb npenapaxu aceaksa n Mapranpa. Hab npenapaxoBb Mbiuibaiia ayame Bcoro nponiicbiBaxb MbiiubaKO- BHCxyio Kiicaoxy Bb ({^opMk nnaioab (nanp., asiax- CKia nnaioaii iib nepBbia BCAkaii 2 pasa Bb aceb, noxOMb 3—4 pasa Bb Aenb no 1 niiaioak); nan Chinin, muriat. 5,0 Acicl. arsenicos. 0,03 F]xtr. gentian. q. s. iit f. pil. Nr. CO Conspergc lycopodio. D. S. 3 paaa Bb aceb no 2 nnaioan. B'b xnaicabix'b cayEaaxb npiiMknaioxb ce Bb BiiA'k iiOAKOJKHbixb BEpucKEBanin (caccAneBiio ^/i— 1 uiiipnuxj P/o pacxBopa). Hxo Kacaexca no- BkttniBXb opraiinECCKnxb coeAniicEiii MbinibaKa, KaicoBH KaicoAnaoBOKiicabifi iiaxpb, appeiiaab, axoKcnab n npoE., Koxopnic npoiiiicbiBaioxca Bb ropasAO Cöabiniixb AOsaxT,, EkM^b acid. arscnico- suin, xo aiiiiib Aajn>nk{iniiiMn iiäöaioAcniaMii mo- jKCXb 6iJXb ycxanoBaciio, Akficxiinxcabno an oiin aacayaciinaioxb npOAnoExenia, xaitb itaicb AORO-^i>no$