Post-Operative Chest Conditions.
نویسنده
چکیده
It is by no means uncommon for the physician to be asked to see a patient who has recently undergone operation, and to find that there has been some complication in the chest. The possible complications are fairly numerous and their treatment differs considerably. It is also a fact that many of the more serious complications can be prevented, or the duration of incapacity can be considerably shortened if early diagnosis leads to prompt and energetic treatment. The foregoing applies not only to operations which have been carried out under general anesthesia, but also to certain operations which have been performed with spinal anaesthetics and even with some basal anesthetics, such as avertin. The commonest conditions with which the physician is called upon to deal are as follow:-x. Acute Bronchitis. This is most commonly present in patients who have been subjected to a general anesthetic. It may result from inhalation of irri-tant vapours, and is therefore most common when ether has been employed, but it is frequently found that in such cases the patient has been exposed to sudden changes of temperature in the transit from the operating theatre to the ward. In patients who have previously suffered from chronic chest disease, such as chronic bronchitis and emphysema, acute bronchitis is more apt to occur and it is correspondingly more serious in these sufferers. The symptoms are usually fairly characteristic. Within twenty-four hours of operation, the temperature rises, although not to any great height, and cough develops. There may be a raw sensation under the sternum, but there is no localized pain. Sputum is at first scanty and tenacious, but later becomes looser and more copious, yellowish in colour, but never bloodstained. The illness runs a course of about a week's duration and treatment must be directed towards making the patient more comfortable.
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عنوان ژورنال:
- Postgraduate medical journal
دوره 12 133 شماره
صفحات -
تاریخ انتشار 1936