Lancet-Clinic Volume 111, No. 10 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1914 Excerpt: ...infusion of a two and one-half per cent. solution of dextrose in normal salt solution in order that the dextrose content of the blood may be brought up to the normal. Grulee 10 advises the use of skimmed milk curds suspended in gelatin water, his object being to reduce the sugar and fat content of the food to the minimum which lessens the irritation to the intestines. He thinks of all food stuffs that protein is the least irritating and the easiest of absorption, and that infants with ileo-colitis should have a properly-dosed protein. It seems to me that next to breast milk albumin milk answers the requirements in the feeding of most cases of ileo-colitis. If as Kendal and Smith" believe the above-mentioned types of bacteria are causative of the various forms of ileo-colitis and are influenced by the nature of the food which is administered, albumin milk without sugar addition is indicated in the gas bacillus type and with sugar and flour addition when the Flexner bacillus abounds. Feeding of the JPremature Infant.--More nourishment per pound of weight is required than for the full-term child, but we at once meet the difficulty of feeding such a quantity because of the defective digestive powers. Overfeeding quickly shows its results. If the infant can tolerate breast milk equal to onefourth of its body weight during the first ten days of life and one-fifth of its body weight thereafter as Budin advises it should have that quantity. Failure on the part of the child to take this amount must often be met by forced feeding with a medicine dropper, spoon or esophageal catheter. Breast milk is almost a necessity for feeding premature infants, but when intestinal disturbances are present it is wise to use definite amounts of it so as to avoid over or underfe...