Biliary Coma in the Sixth Month of Pregnancy
نویسنده
چکیده
On the 24th September, at 4 p.m., I was called to see a female suffering with partial loss of sense and consciousness. On repairing to the spot, I found her as follows: a married Hindoo female, of tolerably fair complexion, aged about 20 years, short in stature and thick in build, lying on her bed, rolling about groaning, and uttering words expressive of suffering, with eves closed. She was running six months in pregnancy. On enquiry, I was told that eight days since she was suffering with loss of appetite, yellowness of conjunctiva and urine, and complete alvine obstruction for six days continually; that from last night (the 23rd) she became insensible. At my request she was called by her name, to which she returned no answer ; but though devoid of consciousness, still she got up once in my presence to arrange her own clothes, and again got down from her cot to make water, as if by the instinctive impulse of habit, keeping her eyes closed all the while, but en both occasions she could not get to her bed again, and required to be helped. On examining, I found her eyes perfectly yellow, urine yi llow, body of natural temperature, with a yellowish tinge, pulse beating 85 per minute, rather weak, and pupils contracted: by auscultation I caught the foetal pulsation, but the uterine tumour
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علل اغما و پیش آگهی یک ماهه آن، بیمارستان سینا، 80-1379
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