On secondary hemorrhage after parturition / by Alfred H. M'Clintock.

  • McClintock, Alfred H. (Alfred Henry), 1821-1881.
Date:
1851
Catalogue details

Licence: Public Domain Mark

Credit: On secondary hemorrhage after parturition / by Alfred H. M'Clintock. Source: Wellcome Collection.

    18/46 (page 16)
    cific remedy for obstinate hemorrhage occurring under similar conditions, from whatever organ of the body it may proceed.” These remarks to a certain extent corroborate the practice of Dr. Ayre; and it may be in virtue of this antihemorrhagic property of the mercury that it acted so beneficially in his cases of secon¬ dary hemorrhage. Dr. Ayre himself says that the calomel must frequently be administered so as “slightly to affect the mouth.” These are facts of much significance, and justly claim our deepest attention. The following case is given by Dr. Ayre: “ A case of the most alarming kind fell under my care some months ago, along with my friends, Messrs. Saner and Sleight, gentlemen of con¬ siderable practice of this place. The hemorrhage came on about three weeks after delivery, and was most profuse; the * complexion of the patient was sallow and death-like ; the stools had the colour of coffee-grounds, and very fetid; the mind timid and highly excitable, and occasionally indistinct; she frequently fainted as she laid in bed, and impatiently de¬ manded to be fanned, and to have cold drink. Our treatment was directed exclusively to the correction of the congestive state of the liver, by restoring the biliary secretion, and we gave calomel in small doses frequently renewed. The hemor¬ rhage became inconsiderable, and the other symptoms were much less urgent after some doses of that medicine had been taken; but it was not until after two or three weeks had elapsed, and when the mouth had become slightly sore, that the biliary secretion was fully restored, and that the lady could be considered as convalescent.” VII. According to Dr. Bennett, “ the most prominent of all the symptoms occasioned by the presence of inflammatory ulceration of the cervix, during the puerperal state and after abortion, is hemorrhage. Under ordinary circumstances the sanguinolent discharge which follows parturition soon becomes modified, and ceases in the course of a few days, being re¬ placed by the ordinary lochial secretion. When there is ul-