Diseases of infancy and childhood (1914) (14749030956)

Identifier: diseasesofinfan00fisc (find matches)

Title: Diseases of infancy and childhood

Year: 1914 (1910s)

Authors: Fischer, Louis, 1864- (from old catalog)

Subjects: Children

Publisher: Philadelphia, F. A. Davis company (etc., etc.)

Contributing Library: The Library of Congress

Digitizing Sponsor: The Library of Congress

Text Appearing Before Image:

lottis and obstructs the respiration, the latter condition being mechanicallyprevented as long as the tube was in situ. Exceptional cases have been re-ported where granulation tissue springs up from the antero-lateral aspects ofthe larynx just above the ventricular bands. ODwyer states that theorigin of this growth is a slight ulceration or erosion of the mucous mem-brane at the points corresponding to the greatest transverse diameter of theshoulder of the tube from the pressure exerted during the act of swallowing. Paralysis of the Vocal Cords, although known to exist, is very hard to ^ American Pediatric Society, at Washington, May 6, 1897. fNTUI^,ATION. 571 diagnosticate without a proper laryngoscopic examination. f.ike otherforms of paralysis it comes very late in the course of the disease, and if,after wearing an intuhation tuhc for a short time, laryngeal stenosis recurs,it is safe to assume that paralysis of the vocal cords is not the cause of theimmediately recurring stenosis.

Text Appearing After Image:

Fig. 186.—Case seen in consultation with Dr. S. M. Landsmanii,Diphtheria. Laryngeal stenosis requiring intubation. Normal conditionsand extubation on the fifth day. Two days later, on the seventh day ofillness, a sudden high fever, due to over-feeding, required diet and caloniol.Case recovered. (Original.) False Passage.—^Ixepeated forcihle attempts at intubation will laceratethe tissues. It is not infrequent to enter the ventricles of the larynx, pro-ducing a false passage by sucli Iorcihlo attempts at intuhation. If a falsepassage has been produced, then hiryngeal stenosis will not he relieved, andit is much wiser, if an expert intubator cannot be found, to immediatelyresort to tracheotomy. The great danger of collapse due to heart failure 572 THE INFECTIOUS DISEASES. must always be rememl)ered; hence it is advisable that the operation, be itintubation or tracheotomy, should be done quickly, thus lessening shock. EXTUBATION. How to Exiuhate.—First step in the operation: place

Krankheiten des Säuglings- und Kindesalters 1914 Fieber Buchillustrationen Medizin Krankheiten Bilder aus dem Internetarchiv Kongressbibliothek

1914

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