WEST SUSSEX INFIRMARY, CHICHESTER

Freeland
1877 The Lancet  
532 felt unable to retain an enema. One-sixth of a grain of morphia was given hypodermically ; at 9.30 A.M. the wound was dressed and an enema given. The patient had slept four hours during the night; there was no abdominal tenderness ; he felt better, but looked more sallow. Tongue dry, but less furred than it had been. Pulse 96, small and regular; temperature 99°; respiration 24. At 2 30 P.M. seven drachms of warm milk and the yelk of an egg mixed with it were passed into the stomach through
more » ... he stomach through the tube as before, and were apparently retained; at 5 p M. this was repeated, together with an enema; both were again given at midnight. Each time the food remained in the stomach. The wound was dressed at 2.30 P.M., and at midnight. The lower part was now much excoriated by discharge, despite the precautions taken. The man complained much of thirst and giddiness. There was no abdominal tenderness. The morphia was repeated. 9th.-The patient felt much weaker, and had a good deal of pain all over the abdomen. He was fed through the wound at 9 A.M., and had an enema at noon. He com-
doi:10.1016/s0140-6736(02)47571-x fatcat:sglqbsqpfndrbdh2ii65jkkdcu