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Medical ArticlesEsophagoscopy For Foreign Body... Bowels Lax A teaspoonful of lemon juice (freshly expressed), along with h... Deviation Of The Esophagus Deviation of the esophagus may be marked in the presence of a... Nervous Prostration Persons suffering from nervous prostration have probably allow... Cayenne And Mustard Mustard spread on a cold towel and applied to the spine or lum... Pimples On The Face See Face. ... Abscess Of The Lung If of foreign-body origin, pulmonary abscess almost invariab... Esophagoscopic Extraction Of Foreign Bodies It is unwise to do an endoscopy in a foreign-body case for th... Giddiness And Trembling This comes very often as the result of loss of nerve power in ... Baths During rheumatism the peripheral blood vessels are generally ... Cases During an epidemic of scarlatina in 1836 two of my children w... Diagnosis Of Foreign Body In The Air Or Food Passages The questions arising are: I. Is a foreign body present? ... Mechanical Problems Of Bronchoscopic Foreign Body Extraction* * For more extensive consideration of mechanical problems... The Power Of Words In every word there is a magic influence, and each word ... Inflammation Of The Bowels - Enteritis This consists in inflammation of the muscular and peritoneal ... Contraindications To Direct Laryngoscopy There are no absolute contraindications to direct laryngosco... Mineral Acids And Glacial Acetic If any neutralising agent, such, e.g., as lime, chalk, soda, o... Fainting Fatigue, excessive heat, fright, loss of blood, hunger, etc., ... Local Applications That medicines act locally, that is, manifest their symptoms ... The Frightening Heart Heart disease is one of the major causes of death among North... |
Abscess Of The LungCategory: 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
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