en:ahr:dunham-c-chlorine-and-spasmus-glottidis-158-10409
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en:ahr:dunham-c-chlorine-and-spasmus-glottidis-158-10409 [2012/07/12 10:56] 127.0.0.1 external edit |
en:ahr:dunham-c-chlorine-and-spasmus-glottidis-158-10409 [2013/04/22 10:04] legatum |
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| {{anchor:s10}}In 1852, I had an opportunity of witnessing the effect of a strong accidental inhalation of chlorine gas by an adult. {{anchor:s11}}The same phenomena of comparatively, free, but <span grade2>crowing</span> inspiration, and of absolutely obstructed <span grade2>expiration</span> presented themselves, the face became extremely livid, convulsive movements of the extremities began, and the patient became partially comatose. {{anchor:s12}}I administered ammonia by olfaction, the spasm relaxed, and consciousness returned along with normal respiration. | {{anchor:s10}}In 1852, I had an opportunity of witnessing the effect of a strong accidental inhalation of chlorine gas by an adult. {{anchor:s11}}The same phenomena of comparatively, free, but <span grade2>crowing</span> inspiration, and of absolutely obstructed <span grade2>expiration</span> presented themselves, the face became extremely livid, convulsive movements of the extremities began, and the patient became partially comatose. {{anchor:s12}}I administered ammonia by olfaction, the spasm relaxed, and consciousness returned along with normal respiration. | ||
| - | {{anchor:s13}}These experiments show a power in chlorine, to produce the following condition, "Spasm of the glottis, which interferes but little with inspiration, giving to it a crowing sound, but which prevents expiration. {{anchor:s14}}During the continuance of the spasm, the respiratory acts consist of a succession of crowing inspirations, each followed by an ineffectual effort at <span grade2>expiration,</span> the whole serving to inflate the chest to a most painful extent, and attended at last, by turgescence of the face, and more or less complete coma, with or without convulsive movements of the extremities, and during which the spasm relaxes. | + | {{anchor:s13}}These experiments show a power in chlorine, to produce the following condition, "Spasm of the glottis, which interferes but little with inspiration, giving to it a crowing sound, but which prevents expiration. {{anchor:s14}}During the continuance of the spasm, the respiratory acts consist of a succession of crowing inspirations, each followed by an ineffectual effort at <span grade2>expiration,</span> the whole serving to inflate the chest to a most painful extent, and attended at last, by turgescence of the face, and more or less complete coma, with or without convulsive movements of the extremities, and during which the spasm relaxes." |
| - | {{anchor:s15}}In the proving of chlorine, in Vol. II, of the <span grade2>Neues Archir,</span> a similar effect is indistinctly indicated. {{anchor:s16}}Pareira says "if an attempt be made to inhale undiluted chlorine gas, it produces <span grade2>spasm of the glottis.</span> {{anchor:s17}}Twice I have suffered severely from the accidental inhalation of it; and each time it gave the sensation of constriction of the air tubes, such as might be produced by a spasmodic condition of the muscular fibres of the bronchial tubes" The peculiar nature of the chlorine spasm, viz. that it affects expiration almost exclusively, is not mentioned by Pareira. | + | {{anchor:s15}}In the proving of chlorine, in Vol. II, of the <span grade2>Neues Archiv,</span> a similar effect is indistinctly indicated. {{anchor:s16}}Pareira says "if an attempt be made to inhale undiluted chlorine gas, it produces <span grade2>spasm of the glottis.</span> {{anchor:s17}}Twice I have suffered severely from the accidental inhalation of it; and each time it gave the sensation of constriction of the air tubes, such as might be produced by a spasmodic condition of the muscular fibres of the bronchial tubes." The peculiar nature of the chlorine spasm, viz. that it affects expiration almost exclusively, is not mentioned by Pareira. |
| {{anchor:s18}}Bearing in mind the odium, which has been attempted to be cast upon some of our colleagues, for flooding our literature with "fragmentary provings," which serve no purpose but to "cumber the <span grade2>materia medica,</span>" and to annoy our practitioners with an "<span grade2>embarras de richesses</span>" (as if it were not worth while to publish and to study anything, however "fragmentary", if it furnish us the means of curing, were it but a single case!{{anchor:s19}}) I might have abstained from publishing the above symptoms of chlorine, had not the following case demonstrated their practical value. | {{anchor:s18}}Bearing in mind the odium, which has been attempted to be cast upon some of our colleagues, for flooding our literature with "fragmentary provings," which serve no purpose but to "cumber the <span grade2>materia medica,</span>" and to annoy our practitioners with an "<span grade2>embarras de richesses</span>" (as if it were not worth while to publish and to study anything, however "fragmentary", if it furnish us the means of curing, were it but a single case!{{anchor:s19}}) I might have abstained from publishing the above symptoms of chlorine, had not the following case demonstrated their practical value. | ||
en/ahr/dunham-c-chlorine-and-spasmus-glottidis-158-10409.txt · Last modified: 2013/04/22 10:06 by legatum
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