Report on some cases of dissecting aneurism / by Dr. Peacock.

  • Peacock, Thomas B. (Thomas Bevill), 1812-1882.
Date:
[1863], [©1863]
Catalogue details

Licence: Public Domain Mark

Credit: Report on some cases of dissecting aneurism / by Dr. Peacock. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    Influence of sex and age on the production of dissecting aneurisins.— It is well Imown that the common forms of aneurism are of more fre- quent occun-ence in men than in women, and if the aneurisms of the superficial arteries, to which, for obvious reasons, men are much the most subject, be excluded from the comparison, men are still found to be more frequently afiected than women. From the small number of cases on record at the time of the publication of my first paper, I inferred that dissecting aneurisms followed a veiy opposite rule, being more fre- quent in women than in men. The larger series now brought together does not altogether confirm that inference: of seventy-two cases in which the sex is named, thirty-nine having occurred in males, and thirty-three in females. This proportion is, however, stiU greater in women than obtains with the ordinary forms of aneurism. The dissecting aneurism was also supposed to differ from the common anenrismal affections, in being especially common in persons of advanced age. The present series of cases shows that the disease may occur in persons at all periods after early life, but that, allowance being made from the relatively smaU number of persons living at the more advanced ages, it is more common in old people. Of sixty-eight persons the ages are as follows :— 17 years of age 2 1 to 24 inclusive ... 5 From 30 to 40 . . . .6 ,, 40 to 50 50 to 60 „ 60 to 70 „ 70 to 80 84 . 88 . 95 • Of four other cases in which the prec: one is reported to have been young, one middle-aged, one elderly, and one aged. Situation of the peiforation of the internal coats and extent of separa- tion of the tunics.—Hitherto the dissecting aneurism has been found only in the aorta or its large branches. From the thinness of the coats 11 18 10 10 se age of the subject is not stated, Med. Science, vol. iii. 1843, p. 613. Bouillaud, Arch. Gen. de Mod., i^'^ serie, T. xv. 1847, p. 248. Goupil, Bullet, de la Soc. Anat. 28'n'' anneo, 1853, p. 27G. Cadot- Gassicourt, Ibid., SOme anii6e, 1856, p. 352. Swoine, Path. Trans, vol. vii. 1866-66, p. 106. b2