A Case of Sleeping Sickness showing Regular Periodical Increase of the Parasites Disclosed *
A Case of Sleeping Sickness showing Regular Periodical Increase of the Parasites Disclosed *
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已披露的一例昏睡病，显示寄生虫定期定期增加 *
作者：
R. Ross;D. Thomson
* 她注意到腹部伤口右侧有肿胀;没有阴道分泌物。疼痛逐渐消失了，她的健康状况又变得令人满意了。1910年4月26日，也就是说，手术后四个半月，她观察到阴道出血，伴随着腹部剧烈疼痛，她注意到腹部伤口右侧的肿胀再次出现。她还遭受着骶骨隐隐作痛、头痛和疲倦的折磨。这种分泌物与正常月经期的常见体征和症状有关，一直持续到1910年4月30日，随后逐渐减少。1910年5月4日患者再次入院时，有轻微白带，但无出血。操作系统太软了。右腹壁的卵巢触痛，肿胀，约5英寸。直径。上覆组织未见发红或水肿。温度是990华氏度，脉搏是76次呼吸平均是24次心脏和肺似乎正常，尿液比重为1005，呈酸性反应，不含蛋白和糖。在接下来的几天里，卵巢逐渐缩小，到5月10日，它只是可触及的，只有非常轻微的压痛，病人几乎没有任何疼痛。如果我们根据这一事实，大胆地提出关于月经性质的任何假说，我们会说，首先，女性机体在一个月内受到一种毒素的影响，这种毒素的来源目前尚不清楚，但其作用对卵巢是有选择性的;毒素引起卵巢的强烈充血，也许是一种特殊的新陈代谢;然后形成一种来自卵巢的内分泌物，它对子宫有特殊的作用，并决定血液的排出。在上述病例中，在四个半月的时间里，出现了某些症状，如卵巢肿胀、潮红和全身乏力，这是有机体中存在对血管系统具有选择性作用的毒药的有力证据。在这之后...
* She noticed that there was a swelling on the right side the abdominal wound; there was no vaginal discharge of lood. The pain gradually passed off, and her state of health again became satisfactory. On April 26th, 1910-that is to say, four and a half months after the operation-she observed a vaginal discharge of blood, accompanied by acute pain in the abdomen, and she noticed that the swelling on the right side of the abdominal wound had again appeared. She suffered also from a dull pain across the sacrum, from headache, and from lassitude. This discharge, which was thus associated with the usual signs and symptoms of a normal menstrual period, continued up to April 30th, 1910, and subsequently gradually diminished. When the patient was readmitted on May 4th, 1910, there was slight leucorrhoea, but no discharge of blood. The os was unduly soft. The ovary in the right abdominal wall was tender and much swollen, measuring approximately 5 in. in diameter. Trhere was no redness nor oedema of the overlying tissues. The temperature was 990 F., the pulse was 76, and the respirations averaged 24. The heart and lungs appeared to be normal, and the urine, which had a specific gravity of 1005, was acid in reaction and free from albumen and sugar. On the following days the ovary steadily diminished in size, and by May 10th it was only just palpa,ble, only very slightly tender, and the patient was practically free from all pain. If we are to venture, in view of the facts of this case, to put forward any hypothesis regarding the nature of menstruation, we would say that the female organism is, in the first place, during a month under the influence of a toxin the origin of which is at present unknown but whose action is elective for the ovary; that the toxin pre-duces an intense congestion of the ovary and perhaps a special metabolism; and that then an internal secretion derived fram the ovary is formed whichhas a special action on the uteras, and which determines the discharge of blood. In the above case, for a period of four and a half months there were present certain signs such as the swelling of the ovary, flushings, and general lassitude, which were strong evidence of the presence in the organism of a poison having an elective action for the vasomotor system. After this …