Modern surgery, general and operative . her Structures Not BeingSeriously Involved.—Such injuries are rare. Esophageal injuries, as a rifle,are associated wdth serious damage to adjacent structures. Injuries maybe due to stabs or to buUets. Besides the obvious external signs of the injurythere wifl be difficulty in swaUowing, cough, bloody expectoration, or vomiting;and mucus or the contents of the stomach may run out of the wound. Treatment.—Suture the wound, and feed by the rectum for ten days. Foreign Bodies Lodged in the Esophagus 941 Foreign Bodies Lodged in the Esophagus.—These accidents
Modern surgery, general and operative . her Structures Not BeingSeriously Involved.—Such injuries are rare. Esophageal injuries, as a rifle,are associated wdth serious damage to adjacent structures. Injuries maybe due to stabs or to buUets. Besides the obvious external signs of the injurythere wifl be difficulty in swaUowing, cough, bloody expectoration, or vomiting;and mucus or the contents of the stomach may run out of the wound. Treatment.—Suture the wound, and feed by the rectum for ten days. Foreign Bodies Lodged in the Esophagus 941 Foreign Bodies Lodged in the Esophagus.—These accidents occur especiallyin children and lunatics, and women are more apt to suffer from them than list of various bodies which have been swallowed will be found in Pouletselaborate treatise. There are three regions where a foreign body is especiallyapt to lodge—viz., opposite the cricoid cartilage, at the level of the diaphragm,and at the point where the left bronchus crosses the gullet. Small and sharpbodies may lodge Fig. 595.—^Authors case of whistle in esophagus, removed by external esophagotoniy. The symptoms are \ariable; if the body is large, there will be pain anddifficulty in swallo-^dng, and, in many cases, dyspnea from pressure uponthe trachea or bronchus. Occasionally the dyspnea is such a prominentfeature that it misleads the physician into the belief that the foreign bodyis lodged in the air-passages. Death may actually result from asphyxia. Insome other cases the symptoms are very slight. If the body is sharp, therewill be hemorrhage and severe pain. The blood may be haw^ked up, or may
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
