Manual of Surgery - Volume First: General Surgery. Sixth Edition. by Alexis Thomson;Alexander Miles
page 71 of 798 (08%)
page 71 of 798 (08%)
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or twice a day according to circumstances. This apparatus acts in the
same way as the old-fashioned _dry cup_, and is more convenient and equally efficacious. [Illustration: FIG. 8.--Passive Hyperæmia induced by Klapp's Suction Bell for Inflammation of Inguinal Gland.] _Active hyperæmia_ is induced by the local application of heat, particularly by means of hot air. It has not proved so useful in acute inflammation as passive hyperæmia, but is of great value in hastening the absorption of inflammatory products and in overcoming adhesions and stiffness in tendons and joints. _General Treatment._--The patient should be kept at rest, preferably in bed, to diminish the general tissue waste; and the diet should be restricted to fluids, such as milk, beef-tea, meat juices or gruel, and these may be rendered more easily assimilable by artificial digestion if necessary. To counteract the general effect of toxins absorbed into the circulation, specific antitoxic sera are employed in certain forms of infection, such as diphtheria, streptococcal septicæmia, and tetanus. In other forms of infection, vaccines are employed to increase the opsonic power of the blood. When such means are not available, the circulating toxins may to some extent be diluted by giving plenty of bland fluids by the mouth or normal salt solution by the rectum. The elimination of the toxins is promoted by securing free action of the emunctories. A saline purge, such as half an ounce of sulphate of magnesium in a small quantity of water, ensures a free evacuation of the bowels. The kidneys are flushed by such diluent drinks as equal parts of milk and lime water, or milk with a dram of liquor calcis saccharatus |
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