Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Oxygen Tank And Tracheotomy Instruments

Respiratory arrest may occur from shifting of a foreign body,...

Nerves Troubled

Often a state of the nerves exists, without any apparent unhea...

Soaping The Head

See Head, Soaping. ...

Changing Treatment

To wisely alter and arrange the treatment in any case is of th...

Bowels Inflammation Of

This (called medically Peritonitis) is an inflammation of the ...

Extraction Of Foreign Bodies From The Strictured Esophagus

Foreign bodies of relatively small size will lodge in a stri...

Diet And Baths In Heart Disease

The diet in cardiac diseases has already incidentally been ...

Spatula-protected Method

Safety-pins in children, point upward, when lodged high in t...

Rules For The Application Of Water In Typhoid Cases

As a general rule, in typhoid cases, bathing should form one ...

Compression Stenosis Of The Trachea

Decannulation in these cases can only follow the removal of ...

Breast Swelling In

A blow on the breast, or the drain of nursing a child, along w...

Agrippa

HEINRICH CORNELIUS AGRIPPA VON NETTESHEIM, a German alchemist...

Physical Signs Of Bronchial Foreign Body

In most cases there will be limitation of expansion on the in...

Decannulation After Cure Of Laryngeal Stenosis

In order to train the patient to breathe again through the la...



...

Ulcers

An ulcer is an "eating sore": that is, a sore containing matte...

The Extraction Of Tightly Fitting Foreign Bodies From The Bronchi

Annular Edema Such objects as marbles, pebbles, corks, etc.,...

Eyes Squinting

Various affections of the eyeball muscles cause this. To cure ...

Declining Limb A

See Limbs, Drawn up. ...

Facts

In 1845-46 there was an epidemic in Dresden, a city of 100,00...



Abscess Of The Lung





Category: BRONCHOSCOPY IN DISEASES OF THE TRACHEA AND BRONCHI
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

If of foreign-body origin, pulmonary abscess
almost invariably heals after the removal of the object and a regime
of fresh air and rest, without local measures of any kind. Acute
pulmonary abscess from other causes may require bronchoscopic drainage
and gentle dilatation of the swollen and narrowed bronchi leading to
it. Some of these bronchi are practically fistulae. Obstructive
granulations should be removed with crushing, not biting forceps. The
regular foreign-body forceps are best for this purpose. Caution should
be used as to removal of the granulations with which the abscess
cavity is filled in chronic cases. The term abscess is usually
loosely applied to the condition of drowned lung in which the pus has
accumulated in natural passages, and in which there is neither a new
wall nor a breaking down of normal walls. Chronic lung-abscess is
often successfully treated by weekly bronchoscopic lavage with 20 cc.
or more of a warm, normal salt solution, a 1:1000 watery potassium
permanganate solution, or a weak iodine solution as in the following
formula:
Rx. Monochlorphenol (Merck) .12
Lugol's solution 8.00
Normal salt solution 500.

Perhaps the best procedure is to precede medicinal applications by the
clearing out of the purulent secretions by aspiration with the
aspirating bronchoscope and the independent aspirating tube, the
latter being inserted into passages too small to enter with the
bronchoscope, and the endobronchial instillation of from 10 to 30 cc.
of the medicament. The following have been used: Argyrol, 1 per cent
watery solution; Silvol, 1 per cent watery solution; Iodoform, oil
emulsion 10 per cent; Guaiacol, 10 per cent solution in paraffine oil;
Gomenol, 20 per cent solution in oil; or a bismuth subnitrate
suspension in oil. Robert M. Lukens and William F. Moore of the
Bronchoscopic Clinic report excellent results in post-tonsillectomy
abscesses from one tenth of one per cent phenol in normal salt
solution with the addition of 2 per cent Lugol's solution. Chlorinated
solutions are irritating, and if used, require copious dilution.
Liquid petrolatum with a little oil of eucalyptus has been most often
the medium.





Next: Gangrene Of The Lung

Previous: Tracheobronchial Diphtheria



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1429