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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    PROFESSOR OF THE DISEASES OF CHILDREN, CORNELL UNIVERSITY MEDICAL COLLEGE. (IN NEW YORK CITY.) The present conception of pneumonia is that it is the localized lesion of a specific infection by the micrococcus lanceolatus. The lesion and the symptoms are commonly com- mensurate. There may be an extensive lesion with minor symptoms, or, a lesion so circumscribed as to afford no physical sign may be expressed by severe symptoms, i.e., profound infection. Ineradicable, manifold variations have root in the type of the epidemic; in individual resistance of infec- tion; susceptibility to infection, and the physical state of the patient. Is the treatment of pneumonia symptomatic, or is there a scientific treatment, which has as its basis physiology; the progress of morbid changes in the lung, the character of the epidemic, the individuality of the patient? Anatomical Essentials. Pneumonia is croup of the alveolar walls. These walls are densely pervaded by very fine, very superficial capillaries. The pulmonary arteries in their course along the bronchi to their finest ramifications do not anastomose; in the air-sacs they anastomose freely. After anastomosis they distribute branches to * Read before the Society of Alumni of Bellevue Hospital, Nov. 7, 1906. [1]