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September 5, 1891

What Shall be done for a Patient with

JAMA. 1891;XVII(10):384-385. doi:10.1001/jama.1891.02410880032013

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A Foreign Body in One of the Bronchi.  — Dr. J. D. Rushmore says the age, condition of the patient and state of the respiratory organs, as well as the size, shape, weight, etc., of the foreign body should be taken into account before advice is given. A foreign body in a bronchus is always a menace to life, as it causes ulceration, hæmorrhage, abscess, pneumonia, bronchopneumonia, pulmonary thrombosis, etc., in proportion to the firmness with which it is held, and should it become loose, asphyxia, œdema or both may occur. Other methods than those used up to the present time are justifiable when we consider that the failure to extract foreign bodies from the bronchus is 78.38 per cent. The cause of anxiety in the operation through the anterior wall of the chest is the possibility of wounding the pulmonary vein. The posterior or Nesiloff operation is less difficult

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