Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving riskLegge, Thomas Morison, Sir
Science
Lead poisoning and lead absorption : $b The symptoms, pathology and prevention, with special reference to their industrial origin, and an account of the principal processes involving risk
Legge, Thomas Morison, Sir
Lead poisoning
The electrical treatment of the injured nerves and muscles should be
undertaken energetically; both the galvanic or faradic currents may
be used. Probably the best form is the galvanic. A small medicinal
battery may be utilized, the method of application being as follows:
One pole of the battery should be placed over the affected muscle, and
the other pole placed in a basin of water into which the patient’s hand
is dipped. The current should then be passed. It is better not to use
a current of too great intensity, particularly at the start, although
it is found in practice that a much greater current can be borne in
the early stages of the treatment than when the muscles and nerves
commence to recover. As a rule the patient experiences no inconvenience
whatever from a considerable current during the first week of his
affection, but at the end of a fortnight or three weeks less than
one-third of the initial current can be borne. The current should not
be passed continuously, but should be used for a short time and then
shut off, being again switched on for five or six minutes, and then
again shut off. The applications may also be modified by placing one
hand in the vessel of water and stroking the affected muscle and nerve
with the free electrode. The application of the current should be for
not more than half an hour at a time, and may be applied twice in the
twenty-four hours. It is quite easy to instruct the patient to perform
the electrical treatment for himself in this manner when the paresis is
affecting either the upper or lower extremity.
With the faradic current the circuit should be closed while the current
is at a minimum, and then the quantity of current raised to some 15 to
20 milliampères.
For affections of the lower extremity the application may be made by
means of one of the usual baths in which the foot is immersed, the
other electrode being placed on the back or other suitable position.
If both the lower extremities are involved, then both feet should
be placed in a bath into each of which the source of electricity is
connected.
Ionization by means of the faradic current may also be made use of.
For this purpose one of the halogens, preferably iodine or chlorine,
should be used, it being remembered that chlorine and iodine ions enter
from the negative pole, so that in such a case the bath in which the
affected limb is placed must be connected with the negative pole of the
battery.
Subsequently, with either form of electrical treatment, the part
should be well rubbed, and passive movements as well as massage are an
advantage in promoting the return of normal function. As the muscles
gradually return towards their normal state, graduated muscular
exercises should be used.
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