Treatment of croupous pneumonia in children / by Joseph E. Winters.

  • Winters, Joseph Edcil, 1848-1922.
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Licence: Public Domain Mark

Credit: Treatment of croupous pneumonia in children / by Joseph E. Winters. 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.

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    there were but 39 deaths, a mortality of three per cent.” Holt. Second Edition, page 573. In contemplation of rigorous weather as an unques- tionable etiological factor; in contemplation of morbid anatomy; in contemplation of physiology; in contem- plation of the natural history of pneumonia, what basis is there for this harsh, unkind, cruel treatment? Feeding in Pneumonia—In First Year. At onslaught digestion is in abeyance. Thirst is ex- treme. To satisfy this is paramount. Water given unstintedly forestalls catastrophe of overfeeding. Un- appeased thirst impels excessive ingestion of milk—fer- mentation, abdominal distention. A child may for days take only cold water from its bottle, refusing milk. Unexpectedly the proffered bottle 'of water is rejected and milk taken eagerly. Milk mixture should be reduced in strength, di- minished in quantity; formula one-fourth lime water for effect on physical behavior of proteid. An inter- val between water and milk is necessary, as water and food in quick succession provoke vomiting. Give milk hot or cold according to child’s preference. After first year strained cereal gruel with milk and lime water should constitute chief diet. After modified milk period, peptonized milk should be used, peptonizing powder added just before ingestion. In children above two years hot beef juice may be a valuable adjuvant, but must not supersede milk and gruel. Animal Broths. Savory broths pervert appetite. A sick child allowed broth refuses other food. Less tasty milk and cereals are utterly disdained. Sustaining power is from these foods. Animal broth is destitute of constructive material— a child wastes amazingly; enfeeblement is alarming. Contained extractives in broth over-stimulate, super- [15]