St. Louis Courier of Medicine and Collateral Sciences

Seitenzahl:

86

Gewicht:

136 g

Erschienen bei:

Cambridge Scholars Publishing

Kurzbeschreibung

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: cient for the cure of any considerable collection of pus in any organ of the body. "We have a strong predilection for the aspirator, and are inclined to consider it as the first step in the management of abscess of the liver, but our experience goes to show that its usefulness and efficiency is limited, and that the first evacuation of the pus by the aspirator must be followed by a freer opening, which must be maintained either by a drainage-tube or other means. We have found it to be a uniform rule that the cavity has rapidly refilled, and that by a disturbance of its condition the character of the pus has been altered, become less free from odor and changed in consistency. Dr..Stephen H. Ward, a very high authority on hepatic abscess, who has had large experience in the Seamen's and Dreadnaught Hospitals, London, says: " I have generally opened abscesses of the liver as I would an ordinary abscess, with a lancet or bistoury. I have inserted a plug of lint to prevent closure of opening so long as abscess was discharging. I have never known a discharge of fetid pus to be unattended with constitutional disturbance. I have only once used the aspirator, and do not intend to recommend it again in. hepatic abscess. In the case in which I used it there was a rapid reformation of (?) fetid pus, with severe constitutional symptoms and a fatal termination." Another feature which militates strongly against the curability of hepatic abscesses by simple puncture, is the fact of their multiplicity in the same case, for it is to be presumed that the futility of the proceeding is readily apparent when a number of abscesses exist, and hence an essential condition of successful treatment is that the abscess shall be solitary. Here again must have been a fortunate coincidence in the cases repor...

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Mehr von:  Medical Journal Association of Missouri, Cambridge Scholars Publishing