Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . ondition is promptly relieved, the child succumbs withinfrom four to eight days to increasing collapse, not rarely pre-ceded by intestinal perforation and peritonitis. At all events the prognosis is very grave. The mortalityranges between from 50 per cent, and 80 per cent, in cases leftalone or treated palliatively. On the other hand, with promptsurgical treatment the chances for recovery are by far better—about 65 per cent. The best results (75 per cent.) are obta
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . ondition is promptly relieved, the child succumbs withinfrom four to eight days to increasing collapse, not rarely pre-ceded by intestinal perforation and peritonitis. At all events the prognosis is very grave. The mortalityranges between from 50 per cent, and 80 per cent, in cases leftalone or treated palliatively. On the other hand, with promptsurgical treatment the chances for recovery are by far better—about 65 per cent. The best results (75 per cent.) are obtainedin cases operated upon within 24 hours of onset of attack. The treatment of choice, therefore, is obvious: Early opera-tive interference,—before extensive adhesions and gangrene ofthe bowel have taken place. Temporizing is fatal. However,before an operation is resorted to we must be quite certain thatwe are not dealing with acute peritonitis, appendicitis, or intes-tinal obstruction from other causes—with which diseases intus-susception is, most apt to be confounded. Promptsurgicaltreatment. Differential Copiousinjections. 214 DISEASES OF ALIMENTARY TRACT. When the services of a competent surgeon are not obtainable,an attempt may be made to reduce the invagination by copiousinjections of warm (100° F.) water into the bowels, or by airinllatii hi. For the water injections an ordinary fountain syringe with arectal tube, suspended about four feet above the level of thepatients pelvis, answers the purpose. Two to four quarts ofwater should be used. During this procedure the patient shouldbe kept on his back with his buttocks raised about one foot abovethe level of the shoulders. Occasional inversion of the child For the relief of pain and arrest of undue peristalsis, mor- a«d . . . atropine, phine and atropine hypodermatically; to check vomiting, lavage;to combat collapse, stimulants and external heat. Liquid, easilydigestible food to susta
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
