Intravenous injection of saline solution in cases of severe haemorrhage / by Peter Horrocks.

  • Horrocks, Peter, 1853-1909.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Intravenous injection of saline solution in cases of severe haemorrhage / by Peter Horrocks. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    11/18 (page 9)
    seventh day. The arm wound suppurated a little and it was dressed with horacic ointment. The patient made a good recovery and left the hospital on the 24th of Novem- bei-j four weeks after the operation. In August^ 1893, she was in good health, and I failed to recognise her owing to the colour in her cheeks. Case 4.—A. T—, aged 36 ; eleventh pregnancy ; said to he seven months pregnant; attended in the Guy’s Hospital Lying-in Charity by Mr. R. Hewlett Hayes. When first seen the patient stated that she had fainted the previous day whilst defsecating, and that she had been in pain ever since. The os was fairly large, but the membranes were not ruptured. Later they burst, and liquor amnii escaped and then gushes of blood. The vertex was presenting. Dr. Horrocks and the two resident assistants, Messrs. Mason and Davies, came down, and under an amesthetic the cervix was further dilated by Champetier de Ribes bag, podalic version was performed, and a dead male child was extracted. During this operation the patient became pulseless at the wrist, and injection of saline fluid was begun in the median basilic vein. When six ])ints had been injected there was a distinct though weak ])ulse at the wrist. As there was no further hemorrhage and the uterus was well contracted. Dr. Horrocks and the senior assistant, Mr. Mason, left. About an hour and a half later the patient’s pulse again became impercejitible at the wrist. The median basilic vein on the other .side was opened and more saline solution was injected. The pulse became perceptible, but Avas only very feeble and soon disappeared, and the patient died. A post-mortem was made and a large effusion of blood in the left broad ligament was found, and a tear in the cervix uteri extending upAvards to the left broad ligament. There was no blood in the peritoneum. Case 5.—J. M—, aged 44, married ; nine children ; admitted into Guy’s Hospital August 2nd, 1892, for