Surgery; its theory and practice . t relievedrapidly ends in spasm and less acute the voice is affected,inspiration is often stridulous andlabored, and swallowing is painful anddifficult—symptoms which may be fol-lowed by cyanosis, coma, and treatment must be energetic; anemetic should be given at the onset,and leeches, ice, or, if preferred, hotsponges, applied over the thyroid cartilage. These means failing,the cedematous part must be scarified by the laryngeal lancet, oran ODwyers tube, if at hand, ])assed through the glottis, and re-tained there until the oedema subsid
Surgery; its theory and practice . t relievedrapidly ends in spasm and less acute the voice is affected,inspiration is often stridulous andlabored, and swallowing is painful anddifficult—symptoms which may be fol-lowed by cyanosis, coma, and treatment must be energetic; anemetic should be given at the onset,and leeches, ice, or, if preferred, hotsponges, applied over the thyroid cartilage. These means failing,the cedematous part must be scarified by the laryngeal lancet, oran ODwyers tube, if at hand, ])assed through the glottis, and re-tained there until the oedema subsides ; otherwise laryngotomy ortracheotomy must be performed. Membraneous larxngiiis, laryngeal croup or laryngeal diphthei-ia,is a disease of childhood, and may either begin in the larynx, orspread to it from the fauces and pharynx. It is characterized bythe formation of a false membrane, which may extend into thetrachea and bronchi (Fig. 266). The membrane, which may behard and tough, or soft and crumbling, and of a yellowish or. Gidematous Laryngitis, i St. Bar-tholomews Museum.) LARYNGITIS. 563 grayish-white color, is produced by the coagulation of fibrinousmaterial exuded on the surface of the mucous membrane. Itconsists of a delicate network of fibres enclosing leucocytes, cast-ofF epithelium, and granular debris iu its meshes. ba-cillus has been found in the membrane. On its separation themucous membrane beneath is generally though not invariablyfound to be denuded of epithelium, congested and inflamed ; butthe mucosa is not usually involved, as is the case in diphtheriticinflammation of the fauces and pharynx. This difference wouldappear to depend on the site of the inflammation and the intensityof the process, though some consider it a point in favor of thenon-identity of croup and diphtheria, a question, however, whichcannot here be discussed. The symptoms, when the disease be-gins in the larynx, generallycome on very gradually; and ^g- at first c
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
