File:Diseases of infancy and childhood (1914) (14791905753).jpg

Identifier: diseasesofinfan00fisc (find matches)
Title: Diseases of infancy and childhood
Year: 1914 (1910s)
Authors: Fischer, Louis, 1864- (from old catalog)
Subjects: Children
Publisher: Philadelphia, F. A. Davis company (etc., etc.)
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ber of the organ, have been cured by it. (6) It hasalso been used, with excellent results, in anchylosis of the crico-arytenoidarticulations, and in arthritis deformans of the same part. (7) It is usefulin various affections of the nerves of the larynx; for instance, in hystericalcontraction of the abductors, aphonia spastica. The Tolerance of the larynx for the Intubation Tube.—I have fre-quently seen children walking aroimd the wards of the Willard ParkerHospital who have worn intubation tubes about two years. When one con- INTUBATION. 555 siders the anatomical structure of the larynx, it is surprising that noinflammatory condition results from the presence of this foreign body. Inthe article on ^^Broncho-pneumonia I report a case of diphtheria com-plicated by croup and later by broncho-pneumonia. Intubation was re-quired for the relief of laryngeal stenosis. Owing to severe paroxysmalcough, autoextubation resulted, requiring, in all, twenty intubations. Thecase finally recovered.
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Fiff. 182.—Gavaoc jNlethod used in Forced FeedinjHospital. (Original.) at llie Wiilaid Ia UlcGraUons due io ilic iniuhaiion tube have-been seen by me:— (1) 111 the cricoid division of the larynx, just beUnv the vocal cords. (2) At the base of tlie epiglottis, from )u-essuro during tlio act ofswallowing. (I)) On the anterior wall of the trachea near the distal end o( the tube. irU^erations resulting from an intubation tube have been seen by mepost-mortem in children that were fed by gavage. I have also seen ulcera-tion wluM(> cIiildiHMi wiM(^ ((hI by the natural nu>tbods. 1 lieliove tbai feed-ing witb the swaUowing movements iiu-idental to the same produces ulcera-tion at the lower end of tlie tube, because of the up and down riding of tlietube. 656 THE INFECTIOUS DISEASES. A post-mortem specimen of larynx and trachea was recently examined by meat the Willard Parker Hospital. The child was in the hospital twenty-one days;it was therefore an acute laryngeal stenosis. Three ulc

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