File:Diseases of women. A clinical guide to their diagnosis and treatment (1899) (14581790317).jpg

Identifier: diseasesofwomenc00herm (find matches)
Title: Diseases of women. A clinical guide to their diagnosis and treatment
Year: 1899 (1890s)
Authors: Herman, G. Ernest (George Ernest), 1849-1914
Subjects: Women
Publisher: New York, W. Wood & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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*mptoms, that it may be laid down as arule, that great intra-peritoneal haemorrhage occurring in apreviously healthy woman whose age is that within which * See Fagge, Medicine, 1st edition, vol. ii. p. 75. GREAT INTERNAL HEMORRHAGE. 287 pregnancy is possible, is much more likely to be due to aruptured tubal pregnancy than to anything else. Events which may follow rupture of tubal pregnancy.—Tubal pregnancy generally bursts before the end of the second
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Fig. 96.—Tubal gestation an<l rupture. (From a Specimen in the museum of St.Thomass Hospital.) (After R. Barnes.) month. (Fig. 96.) The rupture may be between the layers of themeso-salpinx, and then the hemorrhage will be into the cellulartissue, and outside the peritoneum. This does not concern ushere. The rupture may take place where the tube is coveredby peritoneum. Then the bleeding will be into.the peritonealcavity. The amount of blood poured out bears no relation tothe size of the rent in the tube. I think it may be morewhen the rent is small, because then the chorion is less in-jured, the life of the embryo is less likely to be destroyed, and 288 DISEASES OF W03IEX. the circulation through the part to which the chorion wasattached is less likely to be quickly stopped. If the chorionicvilli are extensively torn across, the embryo is deprived ofnutriment and dies; the circulation through the chorion stops,that through the part to which the chorion was attachedbecomes less ac

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