Cases of tracheotomy in croup and for the removal of foreign bodies / by James Spence.

  • Spence, James, 1812-1882.
Date:
1858
Catalogue details

Licence: Public Domain Mark

Credit: Cases of tracheotomy in croup and for the removal of foreign bodies / by James Spence. Source: Wellcome Collection.

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    the commencement of both bronchi, whilst the smaller subdivisions of the bron¬ chial tubes were at many points quite blocked up by little masses of exudation. There was no great amount of mucous effusion in the bronchi, but the sub¬ stance of both lungs was much congested. The exact situation of the croupous exudation in the larynx and trachea, and its relation to the opening in the latter, are Remarks. well shown in the accompanying plate (Fig. 2). It will be seen how, in such cases, sudden asphyxia might occur on introducing the tube, or how the false membrane, if it passes far down, may act as a valve at the end of the tube, and im¬ pede expiration in some instances; whilst the manner in which the lymph is effused throughout the bronchial tubes, at different points, teaches us that, however marked the immediate relief afforded by the operation, we must often expect to have our hopes disappointed by the obstrution to respiration arising from that cause.