The Diseases of the Heart and of the Aorta, หน้าที่ 1Lindsay & Blakiston, 1875 - 1232 หน้า |
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acute adhesion admitted anæmia aneurism aorta aortic valves apex atrophy audible auricular auriculo-ventricular Auscultation blood Bouillaud bruit capillary cardiac carotid cartilage cause cavity character chest chorea circulation condition connexion constriction contraction costal cartilage diagnosis dicrotism dilatation displacement Doctor Dublin dyspnoea effusion endocarditis example existed fatty degeneration fibres fibrin friction friction-sound frottement heart hypertrophy impulse inch inflammation intercostal space irregular Laennec latter left side left ventricle lesion likewise lung Medical membrane mitral orifice mitral valve muscular nerves normal obstruction occur opinion Opus citat organ ounces papillary muscles Pathological patient pericarditis pericardium period pleura portion posterior precordial dulness precordium pressure presystolic murmur pulmonary artery pulsation pulse reduplication reflux regard regurgitation renal respiration rheumatism rhythm right auricle right side right ventricle second sound serous sternum Stokes surface symptoms systolic murmur thick thickened tion tissue tricle tricuspid usually valvular disease veins venous ventricular systole vessels walls whilst
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หน้า 595 - For several days his breathing was irregular; it would entirely cease for a quarter of a minute, then it would become perceptible, though very low, then by degrees it became heaving and quick, and then it would gradually cease again. This revolution in the state of his breathing occupied about a minute, during which there were about thirty acts of respiration.* The Dissection was made by Dr.
หน้า 307 - ... the two most ready solutions appear to be, either that the altered quality of the blood affords irregular and unwonted stimulus to the organ immediately; or, that it so affects the minute and capillary circulation, as to render greater action necessary to force the blood through the distant sub-divisions of the vascular system.
หน้า 372 - ... the rubbing sounds were distinctly perceptible by means of the stethoscope, the patient was quite unconscious of their existence. They had suddenly, however, become so loud and singular, that the patient and his wife, who occupied the same apartment, were unable to obtain a moment's repose. On examination, a series of sounds was observable which I had never before met with. It is difficult or impossible to convey in words any idea of the extraordinary phenomena then presented. They were not the...
หน้า 373 - Collin, nor those proceeding from pericarditic with valvular murmur, but a mixture of the various attrition murmurs with a large crepitating and a gurgling sound, while to all these phenomena was added a distinct metallic character. In the whole of my experience I never met so extraordinary a combination of sounds. The stomach was not distended by air, and the lung and pleura were unaffected, but the region of the heart gave a tympanitic bruit de pot felt on percussion ; and I could form no conclusion...
หน้า 239 - This murmur is, as far as I have observed, invariably basic in seat and systolic in time, produced at the orifices of the aorta, and of the pulmonary artery, with a force at each proportional to the power of its communicating ventricle ; scarcely conducted along the aorta at all ; frequently audible, on the contrary, at the second left or pulmonary cartilage ; only in exceptional cases audible below the nipple ; and never, within my experience, perceptible as far as the left apex.
หน้า 307 - ... noted, lead to the belief that no important deviation from the normal state existed. The obvious structural changes in the heart have consisted chiefly of hypertrophy with or without valvular disease: and what is most striking, out of fifty-two cases of hypertrophy, no valvular disease whatsoever could be detected in thirty-four: but in eleven of these thirty-four, more or less disease...
หน้า 69 - ... systole of the ventricles the auricles are distended by blood passing from the venous trunks. 3. The ventricles, when their systole has ended, become relaxed and flaccid, and the blood passes rapidly, but with little force, from the auricles intotheir cavities. 4. The auricles are never emptied of blood, and contract but little on their contents; an active contraction being observable only in their appendices. 5. If the interval between two successive beats of the heart be regarded as divided...
หน้า 341 - Without denying that a general adhesion may induce hypertrophy and dilatation, experience leads me to doubt that such an effect necessarily or even commonly follows the condition indicated. I have often found the heart in a perfectly natural condition, with the exception of an obliterated pericardium.
หน้า 458 - ... natural. The proportions assigned by Laennec, approach perhaps as near the truth as it is possible to arrive — they are as follows. " The heart, comprising the auricles, ought to have a size equal to, a little less, or a very little larger than, the fist of the subject. The walls of the left ventricle ought to have a thickness a little more than double that of the walls of the right : they ought not to collapse when an incision is made into the cavity. The right ventricle, a little larger than...
หน้า 612 - I may, however, remind you of the principal character which all th*se cases seem to present; it is, that they who labor under this disease are fit enough for all the ordinary events of calm and quiet life, but are wholly unable to resist the storm of a sickness, an accident, or an operation.