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主题:A Contribution to the Pathology of Phlegmasia Dolens.djvu/8

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DR. ROBERT LEE ON

25th, (the fifteenth day after delivery.) When I first saw her, the whole extremity was much swollen, the intumescence being greatest in the ham and calf of the leg. The integuments wore a uniform smooth shining appearance, having a cream-like colour, and everywhere pitting on pressure, but more readily in some situations than in others. The temperature to the touch did not differ from that of the other limb, though she complained of a disagreeable sensation of heat throughout its whole extent, and much pain was experienced in the upper and inner part of the thigh on moving it. Immediately below Poupart's ligament, in the situation of the femoral vein, a thick, hard cord, about the size of the little finger was distinctly felt. This cord, which rolled under the fingers, and was exquisitely sensible, could be distinctly traced three or four inches down the thigh in the course of the femoral vessels, and great pain was experienced on pressure, as low down as the middle of the thigh in the same direction. The pulsations of the femoral artery were felt in the usual situation below Poupart's ligament; pressure over this vessel excited little or no uneasiness. Pulse ninety and sharp. Tongue much furred.—Thirst urgent. Bowels confined.—The lochial discharge had nearly disappeared.

Leeches were applied to the left groin and upper and inner part of the thigh; these were


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