On some points in the pathology, diagnosis, prognosis and treatment of pneumonia / by C.H.F. Routh.

  • Routh, C. H. F. (Charles Henry Felix), 1822-1909.
Date:
1855
Catalogue details

Licence: Public Domain Mark

Credit: On some points in the pathology, diagnosis, prognosis and treatment of pneumonia / by C.H.F. Routh. Source: Wellcome Collection.

    18/46 (page 16)
    ter position to disprove the utility of its employment. The advocates of blood-letting in pneumonia recommend its use chiefly on the following grounds— 1. It diminishes the amount of fibrin, which is in excess in this disease. 2. It removes the fever and general pyrexia. 3. It removes the local pain, dyspncea, and congestion. 4. Patients affected with pneumonia bear depletion well, and it seems therefore unphilosophical not to afford them by it the relief which it ensures. 5. It diminishes the mortality. This last point can only be answered by comparing the results of different methods of practice, and, as such, forms part of the second portion of this paper. Let us examine these four several points. 1. It is now admitted that it is only when blood-letting is carried to an excess that the fibrin is diminished. In pneumonia, according to Andral and Gavarret, and other observers, the blood, on analysis, was found, after re¬ peated venesections, to contain less solid constituents and blood-corpuscles, but more fibrin and more solid residue of the serum. Analyses of Andral and Gavarret. 1st case Venesection. _ 1 Day of disease. 2 Amt. fibr 4.0 5? _ 2 3 .... 5.5 55 _ 3 5 6.5 55 _ 4 7 9. 2nd case _ ] 3 5.2 ?5 _ 2 4 7.0 55 3 5 _ 6.9 ?5 _ 4 6 .... 8. 3rd case _ 1 4 5.5 55 2 5 6.8 55 .... 3 9 6.4 1st case Analyses of llindskopf. .... 1 .... not stated .... 6.7 55 2 • • 55 .... 7.7 2nd case 2 • • 55 .... 5.9 55 3 • • • • • • 7.7 55 _ 4 . . • • • • 10.3 5 5 5 . . .... 8.1 3rd case o • • • « <v • • • • 55 .... 7.9 55 .... 3 . . „ .... 0.1 55 _ 4 • • 5J .... 9.5