Statistical data usually have a known practical value only when they are developed and generalized directly after the events, in the footsteps, so to speak, of the occurring facts. Therefore, I deeply apologize to the highly enlightened collection for the fact that I will allow myself to bother his attention with a little belated, brief, statistical remarks about the 4184 history of illness I have reviewed, taken by me for 1) from the archives of Kazan 1880 to 1892. In view of the fact that the history of the disease belongs to the number of clerical documents, then I understand that I must stipulate that these histories of the disease, which were in my order, have already served their legal term, have become the property of the archive and, likewise, no relation to the present to the functional staff of the hospital now, do not have.
Among the neoplasms of the type of higher tissues, lymphangiomas are considered to be quite common; In scholarship about them, many sides arouse disagreements among researchers, therefore, the description of each encountered case is of undoubted interest, at least in the sense of the accumulation of material for the generalizing thought of the future.
The study of the literature on this issue (Kahlbaum, Kiernan, Chizh, Alzheimer) leads to the conclusion that the evidence on the pathological anatomy of early dementia is extremely inadequate and unclear. The author introduces the history of illness to two patients who suffered from early dementia. Both cases ended in death; at autopsy with microscopic examination, they appeared on the face: in one case, the brain was full-blooded, slightly swollen, atrophy of the gyrus of the brain and atrophy of the cortical layer, expressed equally in all lobes of the brain. The lateral ventricles are slightly distended and contain a significant amount of fluid; in another - leptomeningitis sclerotica, Atrophia
Like Delezenne, the author succeeded in obtaining a neurolytic serum by immunizing ducks with an emulsion prepared from the brain and spinal cord of a dog. During his experiments, by the way, it turned out that the specificity of the serum pretty soon (20-28 days of the last injection) disappears. With regard to histological studies, the author notes the changes in the brain 1) with injections of normal duck serum, 2) with injections of neurolytic serum, and 3) changes in the pieces of the brain during the direct action of both serum on them in vitro.
The author describes one tumor of a sour-yellowish color, the size of a large chestnut, which was, as it were, interspersed into the kidney. A very detailed histological examination is reduced to the fact that the tumor in the center is the usual structure of the adrenal gland and along the periphery it has an epithelial character (papillary and alveolar adenoma). The author refers this tumor to the tumor, which is described by Gravitpem under the name "strumae lipomatodes aberratae renis" and, like Chiari, gives great diagnostic significance to the presence of special pigment cells in this tumor.
The author cites a number of observations on military field surgery carried out by the chiefs of the military hospitals of the Red Cross Society in Volksrust-Transvaal and Watervalboven during the South African war from February to August 1900.
Under the influence of one reason or another, the part of the bladder located near the opening of the femoral canal enters into it and forms the so-called. cystic femoral hernia (cystocele crurale). Depending on the ratio of the dropped out part to the hernial mouse and the peritoneum, cystocele intraperitoneale, extraperitoneale and paraperitoneale are distinguished. The size of the hernia is usually insignificant.
While operating on a strangulated scrotal hernia 20 years ago, the author ran into a whole series of difficulties. First of all, because of the infringement in the upper part of the hernial sac, the intestine could not be removed from the scrotum, which required cutting it along the anterior surface. The contents of the hernia turned out to be about an arshin of the small intestine with thickened walls and a significantly thickened (up to 1 / 2 vershok) mesentery, obviously due to constant venous stasis. The infringement did not affect the small intestine. Together with the ileum in the hernia, the coecum with the appendix and the ascending part of the large intestine were found.
The limited availability of operations of hepatic neoplasms forces the author to publish his case. In a 40-year-old, well-nourished woman, over the course of 10 years, a dense, lumpy tumor, the size of a chicken egg, has grown in the abdominal cavity.