. The diseases of infancy and childhood. seriously with the functionof the lung. If the pressure is great and has been long continued, theadhesions over the lung may become so dense and firm that expansion isdifficult, and can at best be only partial. In such cases recession of thechest wall occurs. In old cases expansion is still further interfered with by the changes taking place inthe lung itself, usually a lowgrade of interstitial cases receiving no treat-ment, absorption of the pus ispossible, but is not to be ex-pected. It generally seeks anexternal outlet; the lung may bepe
. The diseases of infancy and childhood. seriously with the functionof the lung. If the pressure is great and has been long continued, theadhesions over the lung may become so dense and firm that expansion isdifficult, and can at best be only partial. In such cases recession of thechest wall occurs. In old cases expansion is still further interfered with by the changes taking place inthe lung itself, usually a lowgrade of interstitial cases receiving no treat-ment, absorption of the pus ispossible, but is not to be ex-pected. It generally seeks anexternal outlet; the lung may beperforated and the pus be evac-uated through the bronchi, orexternal rupture may occur,generally in the neighborhood ofthe nipple. In still other casesthe pus may burrow along thespine, or through the diaphragmreaching the is more often of the left than of the right side, the propor-tion being about three to two. It is double in about three per centA all cases, but much oftener in infants. The most serious complication. Fig. 75.—Empyema with Large Effusion. 566 DISEASES OF THE RESPIRATORY SYSTEM in young children is pericarditis, usually with empyema of the left side;in older children a frequent complication is pulmonary tuberculosis. Symptoms.—When it occurs as a sequel of pneumonia, the symptomsof empyema may follow those of the original disease without any inter-mission; or after the temperature has been normal or nearly so for sev- DAV. 1 £ ?i t 5 c 7 s 0 10 1 11 12 13 ii 15 16 17 IS It 20 21 22 S3 IOC105 loi 103102101100 M E M E M E M E M E M E M E M E M E M E E M E M E M E M E M E M E M E M E M E M E M E M < A A A / \A / l/ | r J V V V w A A A V1 \f A h x \r A V / /^ V\ A / V V i V V v\ / y / UA A I V V / ^\ j V Fig. 76.—Empyema following Pneumonia. Private patient, girl, eight years old; se-vere pneumonia terminating by lysis; development of empyema indicated by second-ary temperature; operation on seventeenth day recovery. eral days it may ris
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Keywords: ., bookcentury1900, bookdecade1920, bookpublishernewyo, bookyear1920
