Treatment of croupous pneumonia in children / by Joseph E. Winters.

  • Winters, Joseph Edcil, 1848-1922.
Catalogue details

Licence: Public Domain Mark

Credit: Treatment of croupous pneumonia in children / by Joseph E. Winters. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Large, high irrigations are wont to cause abdominal distention adding dangerously to difficulty of respiration1. Special Symptoms. At culmination of inflammation temperature is at its climax. When inflammation ends temperature falls. After twelve or twenty-four hours there is reaccession —absorption of toxins incident to resolution. With elimination of toxins temperature gradually subsides to normal. At acme and during resolution, the condition, not the symptom, is treated. Reaccession later is due to extension or pleural seque- lae. Onset, symptoms, physical signs distinguish each. Both are minimized under that science enjoined by physiology. With rheumatic history exudate is habitually serous; with pneumococcus and streptococcus infection puru- lent. Sterilized exploratory syringe supersedes ambig- uous, equivocal signs in deciding nature of exudate. Restlessness in Pneumonia. Early restlessness should be controlled by Dover’s powder. Restlessness late in disease is effectually and safely allayed by chloral—entirely unobjectionable in children. To a child of two years two grains in one drachm of water by rectum with small bulb syringe. When necessary, repeat every two hours until three doses are given. To child of five or six years five grains in one drachm of water repeated in same manner. Experience will com- mend and confirm this use of chloral. “Cerebral Pneumonia.” Pneumonia with virulent infection, with violent onset, with severe inflammation has marked cerebral phe- nomena. Unfortunately this has been denominated ' [12]