A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . a-Fig. 342. tion is that the consent of the patients family can be morereadily obtained for the per-formance of the operationthan is the case in trache-otomy, which causes bleed-ing, and therefore seems tothem more undesirable anddangerous. The objections to in-tubation are that the tubemay slip into the trachea,that it may be swallowedand that food gets into theair passages, causing attimes secondary child should
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . a-Fig. 342. tion is that the consent of the patients family can be morereadily obtained for the per-formance of the operationthan is the case in trache-otomy, which causes bleed-ing, and therefore seems tothem more undesirable anddangerous. The objections to in-tubation are that the tubemay slip into the trachea,that it may be swallowedand that food gets into theair passages, causing attimes secondary child should be fedwith the head thrown farback. It has been supposedby some that there is dangerthat the false membrane ofdiphtheria may be pusheddown into the trachea bymeans of the tube, therebyincreasing the respiratory obstruction. This objection, however, appliesequally to the insertion of a tube after tracheotomy. Intubation, more-over, does not prevent tracheotomy being performed later, if the necessityfor it arises. Attempts have been made to correct the difficulty offeeding after intubation, by attaching a sort of artificial epiglottis tothe upper end of the Feeding a case of intubation of the larynx. (Wharton. ) DISEASES OF THE of the Lungs. Pathology and Symptoms.—Contusions and abscesses of the chestwall require no special description other than to say that the abscess ofthe chest wall is occasionally secondary to purulent effusion in thepleural cavity or to abscess of the lung. Contusion or rupture of the lung tissue may occur without lacerationof the pleura. These lesions probably take place because the lung issubjected to blows or concussions when the vesicles are filled with airand the glottis closed, so that the air within the lung tissue cannot be DISEASES OF THE CHEST. 58l forced out at the time the force is applied. The symptoms of this con-dition are spitting of blood, diaphragmatic breathing, dyspnoea, cough,bronchial rales and signs of localiz
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