Studies on Epidemic Influenza: Comprising Clinical and Laboratory InvestigationsUniversity of Pittsburgh. School of Medicine
History
Studies on Epidemic Influenza: Comprising Clinical and Laboratory Investigations
University of Pittsburgh. School of Medicine
Influenza; Influenza Epidemic, 1918-1919
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Acute bronchitis and tracheitis 26
Subacute bronchitis and tracheitis 1
Acute mucopurulent tracheitis 5
Acute purulent bronchitis 2
Acute mucopurulent bronchitis 7
Ulcers of trachea 1
Acute bronchiectasis 1
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Thus whereas we have indicated that the inflammation of the trachea and
of the large bronchi is of a peculiar kind and remains confined to the
tissue lying inwardly from the cartilage rings, we found that where
these structures give place to a loose muscle tissue with a more
extensive lymphatic drainage the zone of inflammation is not so limited,
but proceeds outwardly into the neighboring tissues. We often use the
terms bronchus and bronchioles very freely without clearly
distinguishing any real difference. In a study of the inflammatory
reactions of the respiratory tubes in epidemic influenza (as well as in
other infections) it is best to accept the anatomical definition that
the bronchioles not only represent the minute tubules passing to the
alveoli, but also those small air passages which devoid of cartilage,
mucous glands and heavy connective tissue stroma are in close relation
to the parenchymatous tissues of the lung. These soft muscular tubes
possess blood and lymphatic vessels which freely communicate with the
blood vessels of the lung alveoli. It is in association with these
distant tubes that concomitant inflammatory reactions are found in the
alveoli and in the bronchial tubes.
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