Text book of veterinary medicine, Volume 1 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 1 (of 5)
Law, James
Veterinary medicine
“3. I use the trochar after three or four weeks of ineffectual
treatment, without any absorption being produced.
“4. In chronic idiopathic hydrothorax, a latent pleurisy with simply
physical signs to indicate _extensive_ effusion, but when the rational
signs are either very slight or none at all save a general malaise and
weakness.”
The use of iodide of potassium and vegetable and mineral tonics must be
perseveringly employed and the strength further supported by a generous
diet, to secure the animal against the dangers of extreme prostration,
of suppuration, or other undesirable conditions of the exuded product.
Among the dangers attending thoracentesis are fainting as a result of
shock on the sudden withdrawal of so much liquid, rupture of the false
membranes, and even of the enclosed lung tissue or of blood vessels,
under the sudden expansion of the partially collapsed lung confined by
the investing false membrane, and the introduction of pus or septic
germs into the pleural cavity. To obviate the first named dangers tight
bands (circingles) around the chest will give support and limit sudden
expansion. In case of excess of liquid the withdrawal of one-half or
two-thirds at a time will allow opportunity for accommodation.
Hæmorrhage may be met by the internal use of chloride, sulphate or
nitrate of iron, matico, hamamelis or tannic acid, and a weak solution
of boric acid or other antiseptic agent may even be injected in small
amount into the pleural cavity.
In obstinate and chronic cases the injection of a weak solution of
iodine and iodide of potassium is often of service. In other cases a
normal chloride of sodium solution (previously sterilized) may be
introduced as soon as a partial evacuation causes uneasiness, and by a
succession of such evacuations and injections the residuum liquid may be
rendered clear and largely aseptic on a single occasion.
In the smaller animals the selection of the most dependent part for
insertion of the trochar is not so essential, as the body may be turned
to facilitate the drainage.
On completion of the operation the wound may be again treated
antiseptically and coated with aristol or collodion.
PNEUMOTHORAX. AIR OR GAS IN THE PLEURA.
Causes, decomposition of liquid effusion, perforation from a
bronchium, the stomach, a thoracic wound. Symptoms, metallic tinkling,
splashing, succussion, drum-like resonance, suppressed respiratory
murmur, distance of cough sound, distress, anxiety, dyspnœa, bulging
intercostal spaces, sometimes a wound. Treatment, closure of wound,
calmatives, aspiration of gas. Treatment for pleurisy.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account