장음표시 사용
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TREATMENT OF INCOMPLETE FEBRILE ABORTION qi EXPECTANT TREATMENTOUINCOMPLETE FEBRILE ABORTION
THE autho sive statistica evidence in supportis his advocacyos expectant reaiment for incomplete febrile abortion Of3.806 se of abortion admittesto his hospital durins the past elevenyears 1, 14 were cases of incomplete febrile abortion In 623 of thesecases the abortion was completed spontaneously, and the mortalitr asoni l.3 per cent Among the t cases in hic delivery was artificiali complete there ere lydeaths, the mortalit of 2.9 per cent. heins more than twice a great as that wit expectant trectiment Alone. This was abandonexo account of severe haemorrhase in 206 cases, amons hic there mereri deaths when expectant treaiment had obe abandoned the mortalitydrom artificiat evacuation was much loweramon the patienis,ho had been labrile for some days helare theoperation than amons those who were stili febrile. The author confirms inters observations that sivins quinine frequently by the mouili osten Dromotes the spontaneous completion o an abortion He endorses Latetho' opinio that, is statistic basedipon sufficiently large number are Studied the mortalit Domih active reaiment of febrile abortion illae Mund tot approximatel 50 per cent greater hantha seo expectant reaiment. The capacit of the uterus to expelit content automaticali has been much underrated.
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242 ACTIO ORQUININE ON THE PREGNANT UTERUS THE ACTIO OF QUININE ON THE PREGNANT UTERUS BY THEMAT SON METHOD
LAZIONE DE CHININO SULL'UTERO GRAVIDO SECONDO ILMETODO DI WA ON
Assistant R. ObstetricNynecological Clinic
AI SON Transactions of the America Gynecological Socie-w, 1920ὶ recommend again the use of quinine a&weli in cases of abortio a in the periodis expulsion, and he has further- more insiste o the fac that quinin in the formis solution subculaneous injections is more active than in po de form Accordinst Walsons article the patient receives atrars 30 grammes of castoroil by mouth and the two hour later a subculaneous injectio of65 centiframmes of quinin in a dilute solutioni muriati acid. I neceSSAry thes injections are repeate twice at two hour intervat. The author applied Mareon method in various cases The resultwas that it Seems that quinin does no posses a specia abortive action. Even in premature deliveries injections o quinine id notprove tot particulari active. O the contrary, quinine prove tobe mos emcactous in cases of ea contractions in norma delivery. Besides ear insing the patient did not present any troubles Thechildren eremo touched by this quinin medication.
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AETER discussin the investigations of ther resardin the
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24 QUININE IN CASES OF ERYSIPELASQUININE IN CASES OF ERYSIPELAS
T the editori The Lancet SIR. - The se of arbum tincture in tropicat countries fora large variet os aliment suggeste to me the extendedis of quinin in his count , an durins the past Lyears Phave substituted quinine formali late of Soda and neve refretted havins done so In Cases of erysipelas quinin acts like a Charm. the patients seelin so et generali that thei sole destre is to resume theirduties irrespective os appearances. The loca lesion is realed by quickly brushin ove the affected area anx inc beyondas possibie an applicatio made u of ne par of tincture of iodine to evenparis of Mith's anaesthetic ether, once datly The senera treaiment consista in sivin orally, very two hours 10 gr. of sulphate os quinin undissolved. 10 minim os spiritis chloroform an , minimos essence of peppermini in cloet os coid milh when the temperatureand pulselecome normal, o nearly so, reduce to every SiwhourS. Erysipelas is fortunatet a rare diseas no aday and it is impossibi to sive statistics asine can do in ther diseases. Nevertheless, the resulta obtaine during the past eleven ears seem to justifyanyone trying the bove reaiment, an I am convinced that they
Lancet, London. 20T II, r. l. Nov. 22, 1924. p. 1097ὶ
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PRURITUS ANI VULVAE AND SCROTI 2456 TMENT OF PRURITUS ANI VULVAE AND SCROTI
os his period a second and somelimes a third infiitration is o maybe required. I hasio been necessarnio emplo a lauri infiitrationi an case thus far trealed a the causative factor is fearched for, and i found eliminate durin the days o Deedom isom itchinu produced by this simple measure occasionalty one injectio suffices, and the patient remain a a for months but he finali return to have hin abs remove or ther operative rectat procedure hichhe was told in the Brst instance would be needed to insure permanent relies, attended to. The techni consist in rendering the part lean illi mater, good Soa an a soli sponse applicationis a solutionis mercurochrome-220 solubie a an antlseptic, and the injectionis aramali area withra per cent procain a a starier. The remainder of the diseased shin is then infiitrated after hic the underlyin SubculaneouS structur is ballooned out with quinin and urea hydrochlorid solutionuntii the patient complain on resumin a chai that he is sitiin ona cushion. V The precautions tot observed are a follows: l. A decided neuroti element exisis in ali pruritus cases thereiare,
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246 PRURITUS ANI VULVAE AN SCROTI
300 .c. quinin and urea hydrochlori solution in greater than 0.5strensili ma produce a lovsh or an unpleasant induration). Resulis in a number of cases have been a sood as,ith a Bal or Lynch operation, and infinitet belle than with the cautery. The pressure noli termina nerves produce by the forcible injectionis fluid in large amount bring about a temporar paralysiSequa in duration to that produce by severance of thei filaments withis nise an to the in of the averas patient is much more
acceptabie. Durna of the America Medicat Association Chicaso, 33: No. 10 Sept. 6.192q. p. 766ὶ
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SYPHILIS REATE BY QUIN INE BISMUTH q7QUININE AN BISMUTH PREPARATION IN THETREATMENT OF SYPHILIS
Assistant a the Dermalological lini of the University
bismuth preparations a me Dermam pica Clini of the universit offerne December I92I-Apri I923. sed principallyt o preparations Ouinby Iodo-bismuthate os quinine formula Aubry. Canti laboratory. Paris and repol Tartro-bismuthate offodium and potassium Chenai and Douilhet Laboratories Paris .
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248 SYPHILIS REATE BY QUIN INE BISMUTH
reactions. The methodis reaiment enabies us to decreas tomo Smallextent the total dos os salvarsan, and on the wholeris eastly Supported. It is, without an doubi superior in most cases to the combined mer
3. The accessor Symplom at the potnt of injectiomare in seneralles important than wit the undilute mercur preparations Thesymptoms of the sums and kidneys are reatly nodias danserous as those due to mercury. Quinb sive hardi an divisreeable reactions. Trepol has a hisher curative actio than uinhy, ut is also more
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QUININE IN VENEREA DISEMES 249 QUININE AS A PROPHYLACTI IN VENEREALDIS SES
Specialis in disinses of the skin
Tri author in his apex Indii a prophylax in venerealdiseases comes to the conclusio that it is preferable to applythe protective asencylefore the interco se The applicationo a prophylacti after the coitus is ni os secondar importance. Neverthelem this late applicatio must stilli considered as a usefuland helpses meas e an must theretare notis disresarded. It also follows rom the above that sublimate is tot preferre tooxycyanide. Mixtures of sublimate an oxycyanide cannot be Mediar chemica reasons. ut it is possibi to adsto the sublimate some elatissent ther than oxycyanide. Among the Substances rankinsfor his pur se quinin is the mos appropriate Scherescheishy.
intense parasitropic - Spirocheticidal properties of quinine, theactio of hic o albumin is moreove favourabie in his case. Scherescheish successsuli protectedri monkeys rom the infectionby Sin a quinine preparation although in the case of tw of the animais, the preparation as applied oni 25 and 30 minutes after
Prompted by the destre o utilis the bactericidat an parasitropic properties of mercurriand quinin in combination and simultaneo ly. myset made experiment in that direction, an satisfied myself of the favourable actionis such combination Lobtainesthe best resulis it a colloida suspensionis mercur an quinin salts. Quinine hydrochlor. Hydrargyr. ichloride Aqua dest. Gelati Spectat. q.S. ad Suspens colloides.). I was abierio utilis to the fui the disinfectinuproperties of these substances by embodyin them in a m S containing oriat an prepared accordin to previousi established require
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250 QUIN INE IN VENEREA DISEASES
This mas contains 95 ater an has the consistenc os a salve. The conditions os dissociation are there re early of the fame alue in this ground mas as in ater solutions. The protective mas thus combined form o the mucosa a well-fixed coatins whichacis at the Same time a protective layer an a lubricant, an combines therefore the favourabie properties of the salve illi the maximum degre os dissociation This associationis mercurriand quinine salis has the further duantas that it is no necessar to ais the
proportio os sublimate to . V as has been done hecause his concentration is ver osten followed by irritationis the mucos and Sometimes amas to the lalter Satisfactor result ca stillae obtaine with a 0.02 ' proportioni sublimate in the combinationis mercur an quinin salis. The hishest proportioni quinin whichLused was lyra. It was possibi to reduce it to 2.5 , stili obtainins favourable resulis. The salas action ithout an irritation was ob taine with a proportion o quinine an mercur about half-waybetween the sive limits. very one of the final experiments was made in his form. worked with this preparation forin year, and deSire t sive the folio inidetatis a to the resulis of the tests: The bactericida actionis sonococci is energeti an kill them even when applied in greatly dilute form. The parasitropic spirocheticida - action is intense All the animal uSed for experiment were Without an exception hept Dee Dominiactioni the prophylacticis of the preparation. Prompted by these resulis, Presortesto practica use, and save this prophylacti successivel to about 100 men. I chos with that objectmen ho by their intellectual levet would understand the importance of the experiment, and who undertook o follo out exacti the
instructions and whos previous mode of life made an abstinence fora ea improbabie. Amon these men, ho have been using the preparation about nine monilis, no one has come o me it a ne i received infection.
Evencis his result is no an absolute proof the practica Ouicomeis sufficienti uniformio reclude iis ein considere Simpi as resultis chance. The preparation was in ali cases sed it the ulmos readiness, a it manipulation is ver simple it is notaetrayed eitheri odouro Stainsin the under ear Further, itaeeps weli. Theory the experiment on animal and the resultis practical applicatio as bove alike justis the assumptio that the bove