The "empty bronchus" treatment by posture in the bronchiectasis of children / by William Ewart.

  • William Ewart
Date:
1908?]
Catalogue details

Licence: Public Domain Mark

Credit: The "empty bronchus" treatment by posture in the bronchiectasis of children / by William Ewart. Source: Wellcome Collection.

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    Lge 4s Spy Reprinted from the ‘ Reports of The Society for the Study of Disease in Children, Vol. VIT1, 1908. THE “EMPTY BRONCHUS” TREATMENT BY POSTURE IN THE BRONCHIECTASIS OF CHILDREN. By WILLIAM EWART, M.D. I po not propose on this occasion to go over the entire ground which was recently covered by my paper on “ The Principles of Treatment of Bronchiectasis,” read before the East Sussex Medico-Chirurgical Society at Hastings, but rather to confine myself to the special points in the mechanical part of the treatment in children. This in- tractable disease, if it is to be cured at all, is more likely to be cured in childhood than at any other age. And the responsibility is great of not missing that better chance by delay. A sad instance in point is the lamented death a few days ago of the little patient, W. C—, aged five years, who had suffered from the affection since an attack of pneu- monia nearly three years ago. Her systematic treatment in July, 1907, on the inclined bed, and by the prone pos- ture on the all-fours exerciser, was of very short duration owing to the temporary closure of the ward. When at last her mother brought her again a month ago, she had deve- loped lJardaceous disease and albuminuria. Although after a few days of postural treatment the expectoration was greatly reduced, so that even partial inversion did not lead to much being coughed up, the foetor showed no improvement ; and the probability that ulcerative and necrotic changes had occurred in the dilatations was borne out by the patient’s rapid failure and final exhaustion ;
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