A practical treatise on uterine hemorrhage : in connexion with pregnancy and parturition / By John T. Ingleby.

  • Ingleby, J. T. (John Thomas), 1794-1845.
Date:
1832
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on uterine hemorrhage : in connexion with pregnancy and parturition / By John T. Ingleby. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    action, in the whole tract of the intestinal canal. The de- rangement either of body or mind may be universal. In the words of Andral, when the system loses a large quantity of blood in a short space of time, the action of several organs is singularly deranged; the functions of the nervous system are peculiarly affected, producing not only fain tings, and the ordi- nary and natural symptoms of debility, but likewise other phenomena, which are generally supposed to depend on an over excited state of the nervous system. Thus, in such cases there often supervene, delirium, convulsions, palpitations, and laborious respiration. The dyspnoea proceeds from the air inspired bearing an excessive proportion to the blood which it has to aerate. The function of digestion is also impaired; as the due performance of this process requires that the stomach, when it has received the food, should become the seat of a certain degree of sanguineous congestion; which in persons labouring under general anaemia is manifestly impossible. All these morbid phenomena subside as a fresh supply of blood is generated in the system.* This complaint will readily be distinguished from those more formidable diseases which affect the cerebral system and implicate its structure, principally by the fact of a copious hemon'hage having preceded the symptoms, and in some measure by the effect of the remedies exhibited. As to the physiology and pathology of this disease, it may be remarked, that the fibrinous part of the blood is generally defective, since it wants both tenacity and redness, whilst the serum is thin and in excess; indeed the peculiar action of the heart and arteries has been ascribed to the blood being thin, diminished in amount, and deteriorated in compo- sition. It has also been suggested that the blood, from a * See Anclral's Path. Anat. vol 1, sect. 1, chap. 2, p. 99.