The Injuries of the Liver and the Bile-Ducts

The Injuries of the Liver and the Bile-Ducts

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1912 edition. Excerpt: ...abdominal s ptoms. Oni 5 the popularization of eari ex Iorato is arotomy merel on %He Basis of sus icious sympgoms of a viscerai injury can o 3F3 H5Y nosis cg a om na con us ens an iver rup ures n part cu ar e mprove e even ye sa prognos s om to cry ng epen s on perfecting the diagnosis of visceral injury so that operation will be performed before peritonitis or high-grade anemia develops. Shock is not a contra-indication to operation. In marked nervous depression Korte treats the shock first and operates at once only when the anemia dominates the clinical picture. In the beginning however, how can one decide whether the depression is a sign of simple nervous shock or a result of the anemia? If internal hemorrhage is present then only the early operation can cause the shock symptoms to disappear by removing their cause. Together with Neumann and Not-' zel I believe that operative shock should be minimized by making the operation as short and as little traumatizing as possible, Rough manipulation of the viscera and particularly traction onthe parietal peritoneum causes reflex diminution in the force of the heart beat and lowering of the blood-pressure and this is true in chloroform narcosis more than it in other narcosis(Mummery awi Symes) How greatly the mortality of abdominal injuries increases with every hour is evident from a mere consideration of the subject and from a row of statistics on open abdominal injuries by Luke, Reclus, Coley, Adler, Siegel, Lathrop, H8xie, Gebele, and Bestelmeyer and on abdominal contusions by Petry, Kirstein, Thommen. Giordano gives the mortality of gunshot wounds of the liver operated on in first 8 hours as 59.13%, when operated on later as 50%; the mortality of liver...show more

Product details

  • Paperback | 90 pages
  • 189 x 246 x 5mm | 177g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236869613
  • 9781236869616