Twentieth Century Practice: An International Encyclopedia of Modern Medical Science
Twentieth Century Practice: An International Encyclopedia of Modern Medical Science
Stedman, Thomas Lathrop, 1853-1938
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The local reagents, the use of which has been attended with the most success in the hands of those who have used them, are nitric acid, perman- ganate of potassium, chloride of gold, hypochlorite of calcium, chlo- rine water, chromic acid, bichloride of mercury, ferric chloride, bromine, and iodine. Besides these local remedies, many others have been used, such as common salt, olive oil, the fat of some animal, sodium and potassium hydrate, sodium bisulphite, tartaric acid, car- bolic acid, and... ammonia. Fayrer has recommended the use of nitric acid or the cautery locally, while Mitchell and Keichert used ferric chloride, bromine or iodine or their acids. According to Kaufmann, chromic acid in solution of 1 : 100 is the most effective local reagent, as, besides producing the greatest precipitate in the venom, it is also an extremely active oxidizing agent. According to Kaufmann' s ex- periments, chromic acid is a potent reagent not only when it is inject- ed with the venom, but also when introduced some time after the poisoning.
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