. Diseases of infancy and childhood . )uth ami nosi>. being the lowest part of the body,must be protected, ^riie baby is (hen ana\. lul. iii. p. l> 288 DISEASES OF THE INTESTINES. heig-ht not exceeding three feet. The injection is frequently intermitted,while the anus is closed with a cotton plug held hy the finger. At thesame time the ahdomen, in the direction from below upward, is gentlykneaded and its contents moved about. Unless this proves successful no time should be lost and an abdominaloperation should be performed. Although surgical interference offers the best means of treatmen
. Diseases of infancy and childhood . )uth ami nosi>. being the lowest part of the body,must be protected, ^riie baby is (hen ana\. lul. iii. p. l> 288 DISEASES OF THE INTESTINES. heig-ht not exceeding three feet. The injection is frequently intermitted,while the anus is closed with a cotton plug held hy the finger. At thesame time the ahdomen, in the direction from below upward, is gentlykneaded and its contents moved about. Unless this proves successful no time should be lost and an abdominaloperation should be performed. Although surgical interference offers the best means of treatment, weshould note the condition of the child at the time of operation, and con-sider the result of shock and hannorrhage in estimating the therapeuticresult. Xo cathartics should be given after the operation, but the bowelsshould be confined by administering a small dose of opium. Stimulation. Fig. 83.—Umbilical Hernia. The result of violent paroxysms ofwhooping-cough. (Original.) will be urgently demanded; hence whisky or iced champagne should begiven ah libitum. It is well to remember that very young children donot offer good resistance to the shock of an abdominal section. Fully 50per cent, of cases seen by me were fatal. The details of an operation forintussusception are those of aseptic surgery, for which my readers arereferred to the special books on surgery. Dr. John F. Erdman, of NewYork City, has reported a series of successful operations in very voungchildren. IJmbilical This condition is frequently seen in both male and female is more often seen in the female. Causes.—It is usually found in children with flabby muscles such asrachitic and atrophied cases. Severe abdominal strain during the parox-ysms of whooping-cough or in continued constipation frequently results ^ For Inguinal Hernia, see chapter on Diseases of the Genito-Urinary Tract
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