Preliminary report on the treatment of advanced pulmonary tuberculosis by intravenous injections of iodoform / by Thos. W. Dewar.

  • Dewar, Thomas W.
Date:
[1903]
Catalogue details

Licence: In copyright

Credit: Preliminary report on the treatment of advanced pulmonary tuberculosis by intravenous injections of iodoform / by Thos. W. Dewar. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    11/14
    iiijul’ioiis. Every vessel Ihal heeomes oeciiuhd diwmisJies /he 2)aticnCs chance of recovery. The iodufonii I eiuj)loy is the liiiest precipitated tliat I can ^et, and tlie purest a*ther of s]). gr. *720. Inferior forms of iodoform and icther make a solution vvliicli rai)idly decom})oses and liberates iodine. The solution should be made f resh, if fossihlc,for each 2)aticvt immcdiatclj/ before ihe injection, and cj‘2)Osed to liyht as little as jwssihlc. Old sulntion should he throirn out. As would he expected, a large dose (ni xx.-xxv.) is occasionally followed by temporary loss of consciousness, but if the earlier injections have been successful, neither patient nor friends will object when told it is likely to occur. Space does not i)ermit of my enclosing drawings of the ap[>aratus I have devised to assist me, nor of my enumerating the little details of technique which I have found necessary. These can be better shown than described. It has been my experience that the continuous successful injection of an aitherial solution of iodoform is followed 2UISSU by an improvement in the patient’s condition in every way, and that, except in very advanced disease, itai)pears to be innocuous in moderate doses. Subjoined, by w’ay of illustration, are the charts of two patients. In one, the whole of the upper lobe of the 11. lung was affected and a cavity existed. The L. apex was also the seat of disease. He has had a hundred injections at least. He is now well in every way. Coughs a very little in the morning. Sputum about 3 i. in twenty-four hours ; sometimes less. Organisms still present in small numbers. L. apex is now clear, and the E. exhibits the signs of a cicatrized cavity. In the other, the whole of the E. lung was infiltrated and breaking dowm, and the L. apex had begun to give \vay. In this instance the patient has lived for years in the country under the best hygienic conditions, and the windows of the house have been open day and night all the year round. In spite of