The medical diseases of children . Fig. 58,—Emphysematous Chest in a Child of 9 years. Treatment.—In chronic cases treatment should be directed towardsthe prevention of acute attacks of bronchitis and asthma, whilechronic bronchitis, if present, should be relieved as far as possible(P- 3SI-) PULMONARY ABSCESS. Large abscesses in the lung are occasionally found following pneu-monia, most frequently of the primary type, in emaciated multiple abscesses are much more common, but can hardly berecognized clinically. Rarely, the presence of a foreign body in the o56 DISEASES OF THE RES
The medical diseases of children . Fig. 58,—Emphysematous Chest in a Child of 9 years. Treatment.—In chronic cases treatment should be directed towardsthe prevention of acute attacks of bronchitis and asthma, whilechronic bronchitis, if present, should be relieved as far as possible(P- 3SI-) PULMONARY ABSCESS. Large abscesses in the lung are occasionally found following pneu-monia, most frequently of the primary type, in emaciated multiple abscesses are much more common, but can hardly berecognized clinically. Rarely, the presence of a foreign body in the o56 DISEASES OF THE RESPIRATORY SYSTEM bronchus or one of its divisions occasions an abscess. Even largeabscesses may be multiple. Symptomatology.—At the termination of the pneumonia thetemperature assumes the hectic type, the child becomes paler andmore wasted. The physical signs at this stage are those of anunresolved pneumonia, but then occur further emaciation and an. Fig. 59.—Emphysematous Chest in a Child of q years. increase in the leucocytosis. When the pus is developed, the signsare those of an empyema, and the symptoms are closely simulated bythat condition. Dislocation of the heart is rare in pulmonary is to be remembered that both an abscess and an empyema maybe present. Diagnosis.—This is usually effected by means of an exploringneedle, and an operation is undertaken for what is thought to be anempyema. The surgeon is the first as a rule to locate the pus as intra-pulmonary. ACUTE PNEUMONIA 357 Prognosis.—The poor condition of the patient, the difficulty indiagnosis, and the fact that more than one abscess is commonly present,all render the outlook in pulmonary abscess very grave. Withoutoperation the disease runs a course of a varying length, and generallycauses death. The abscess may rupture into a bronchus, and so beevacuated ; but this is an uncommon occurrence. Treatment.—This is surgical, and should be undertaken o
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatrics, bookyear1
