Page images

Pneumonia is but little satisfactory, the best-directed efforts being but seldom crowned with success.

The prophylactic measures that must be had recourse to, in order to prevent the occurrence of the disease in question, are obvious. Patients who have suffered much from the consequences of capital operations and severe injuries, or who are worn out by irritative fever and profuse discharges, should be placed in a room or ward that is as freely ventilated as possible, care being, however, taken to prevent draughts of cold air from playing upon them; they should be warmly clothed, so as to promote, as much as possible, the freedom of the circulation, and all depressing causes of disease must be carefully removed. The supine position should also be occasionally changed for the lateral one, or, if the patient have sufficient strength, he may be seated partly upright. And I may take this opportunity of stating, that the starched or dextrinated bandage, the immovable apparatus, as it is called, may here be of most essential service, by enabling the surgeon to place patients, with injuries of the lower limbs, in such a position, and in such an atmosphere, as. shall remove two of the most active predisposing causes of the form of Pneumonia now under consideration, namely, the recumbent position, and the comparatively impure air of a hospital-ward or sickroom.


A TABLE showing the State of the Lungs in G2 Cases of Death from Operations, Injuries, and Surgical Diseases.

[table][merged small]
« PreviousContinue »