On the pathology of shock / read December 1879 by C.W. Mansell-Moullin.

  • Mansell-Moullin, C. W. (Charles William), 1851-1940.
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: On the pathology of shock / read December 1879 by C.W. Mansell-Moullin. Source: Wellcome Collection.

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    PREFACE. -:o:-- The subject of Shock has from the earliest period been one of the deepest interest to all concerned in the pro¬ gress of surgery ; and perhaps at no time more than at present, when such questions as the influence of anaesthetics in preventing its occurrence, and their effect during its continuance, are continually brought before our notice. That during the time I passed at St. Bartholomew’s I witnessed many cases of the more ordinary types, and some that, from the circumstances under which they occurred, deserve a more permanent record, must be my excuse for attempting a subject acknowledged to be one of the most difficult and obscure in surgery. One of these rarer and more simple cases I have detailed at length at the commencement : then I have given a brief account of the more ordinary forms, comparing them with cases of syncope ; and have proceeded to examine the theory originally put forward by Goltz; this, which has generally been received as a fair and reasonable explanation, I have endeavoured to show is insufficient, on the ground that it fails to account for the magnitude of the changes, and that, from the interdependence of all parts of the mechanism of the circulation, it is not possible to act on one without influencing the rest. I fully agree with Goltz that shock is due to the power of