OCR Text |
Show Artyicial and accidental phlegmasice. drtifitial and accidental phlegmasia. 29.3 inch of bone removed without loss of blood-Temperature of Artificial and accidental phlegmasice. Ihad observed, in surgical cases, an increase of temperature, nearly equal to that of typhus. Thinking a regular series of observations on the subject desirable, I requested Mr. Richard to Smith, Surgeon to the Bristol Infirmary, The following undertake this tedious task. the communication from him appears to give mo‘ fluctuations under a sufficient variety of er derate cases. In bad and mortal cases, furth 1 l1 1i .l I Ll Ell‘h-i‘l limit 1‘}. llusuw inn 1 of observations would be desirable. The bulb the thermometer was always placed under the tongue, except where it is otherwise specified. ound fracture June 16,1807.-Thomas Oxland, 34, comp n about two withi ved of ankle: half an inch of bone remo next-imthe as case a hours after the accident-not so bad heat 91full- 74, mediately after operation at 2 P. M. pulse At ‘20 minutes past 6 P. M. heat 96. At 8 P. M. in great the open well ventilated ward 67°. At 6 P. M. immediately after operation, heat loo-the same at a; before 7. 17th.--Bad night, lost xii ounces of blood. Midday pulse 112, very full-heat 102. 18th.-Bad night. Midday pulse 130-heat 10414 At 8 RM. pulse llG-heat 103. I 19th.--Very bad night-body bound. Midday pulse 129-heat102. §past 7 P. M. pulse 134-heat 93-heat between great and next toe of wounded limb 65-in same place of other foot 73-wound gangrenous-thigh tense-abdomenland thorax emphysematous-fermenting poultice to wound-spirits to thigh-takes cordial medicines, port wine and brandy, ad libitungreat dyspnoea-no pain-air let out from cellular membrane by puncture-died in 2 hours. June 16, 1807.-David Lewis, 52, timid and debilitated- case of spma ventosa of 8 years standing-amputation ofleg at half past 1,-Before operation, when on the table, heat 96- mrmediately after dressing heat IOO-took cordial. In three quarters of an hour (in bed) pulse 72-heat 100. At 3 minutes past 6, when there had been haemorrhage to about 6 02., heat from 99 to 100. At 8 o'clock pulse 58, full, labouring- pain, pulse 80, heat 102. June 17.--Restless night, pulse 78, heat 99. heat 100. 18th,--Good night-at midday, pulse 85,-- heat 102-in/the groin of amputated limb heat 101§.--had 8 P. M. pulse 84-heat 100. heat 101. 18th,---Slept well, pulse 88-at Midday heat 101. Even- bath-At midday, pulse {BO-heat 99. 20th.-From this day was {easy and well. pulse SO-lieat 98. Midday, Evening pulse SO-lieat 100. Mat-Midday pulse 80-heat 101. heat 102. 22 i.--Midday, pulse 104-heat 102. Evening pulse 98" Evening, pulse 106 ---heat 100. ered, 23d.--Midday, pulse loo-heat 99%--nearly recov taken an anodyne, but in great pain. l.7th,--Tolerable night. Midday pulse 71, still full-- ing pulse 88-heat 100. lgth-Easy, pulse 80-heat 98, takes saline mixture. Henceforward very well, in but little pain. 20th,--Midday pulse 78-heat 100. Evening pulse 82-heat 101. fish-Midday pulse 72--heat 99. heat 97. 22nd.--Midday pulse 80--heat 99. Evening pulse 88-Evening pulse 80- Sept. 19th. diS‘ June 16th, 1807.--Thomas VViltshire, 55, compound the accident-311 location of ankle-came in 12 hours after inch heat 101. 23rd.--'_\"lidday pulse Sept. 19th. Q'Z-heat 964-vrecovered perfectly, Benjamin |