424
The wound had almost healed and the patient was in high spirits, when one morning five weeks after the operation, at 5 A.M., he was found dead in bed.
Post mortem examination showing extensive disease of the heart valves and vessels, death evidently having occurred from syncope.
(2.) Compound fracture of leg. This was the case of a native woman æt. 60 in a feeble condition from want of nourishment, who was injured in a junk collision during a heavy gale. The leg was completely crushed and she was almost moribund. Amputation at the knee joint was rapidly performed, but the patient never rallied
and died within 36 hours.
EXCISIONS.-In the case of excision of the elbow this was one of severe injury giving rise to profound shock leading one to suspect some abdominal lesion, and, at the post mortem examination, a rupture of the liver was found to be the cause of death.
(xiv.) The following fractures were treated in addition to those on which operations were performed:-
Skull, Nasal Bones,
Ribs,..
Scapula,
Clavicle,
Humerus,
Radius,
Radius and Ulna,................
Carpus, Tarus Phalanges, &c., Femur,
Tibia and Fibula,.
Simple.
Compound.
.3
9
2
0
.3
0
.1
0
.2
0
.3
0
2
.2
.5
0
.0
1
Three cases of Compound Fracture of the skull died within 24 hours after admission.
(xv.) POISONING.-There were 27 cases under treatment with 8 deaths. In each of the fatal cases the poisonous agent was opium.
I have to record that for the first time a conviction was obtained in the Supreme Court of the Colony in a case of Datura Poisoning.
Eight men were admitted on the 22nd October, presenting all the symptoms of Datura Poisoning. (Vide Report for 1888, Appendix C). Emetics, Apomorphia and Sulphate of Zinc were administered and in the vomit parts of the leaf and petals of the Datura alba were found,
13. SMALL-POX. There were ten cases under treatment in the temporary Small-Pox Hospital with one death. This latter was a native of Zanzibar. He was admitted from the P. & O. S.S. Bengal, with the confluent variety, the disease evidently having been contracted in Japan.
14. VACCINATIONS.-Two hundred and thirty-four (234) were vaccinated with the following result :-
Primary cases,. Re-vaccinations,
Successful.
77 ..125
Unsuccessful.
7- 84
25-150
15. POST MORTEMS.-Forty-nine Post Mortem Examinations were held during the past year. 16. The paper on the Remittent Fevers of Hongkong before referred to (paragraph 12, sub-section IX) will be found in the Appendix.
The fees received from the patients in the Government Civil Hospital during the year amounted to the sum of $14,849.99; of this the Board of Trade paid $2,623.75, and the Police $1,136.17 Those received from the Lunatic Asylum amounted to $417, and those from the Small-pox patients to $478.75, giving a total of $15,745.74.
I take this opportunity of thanking those who have during the past year visited the patients in this Hospital and those who have kindly remembered them by forwarding flowers, books, periodicals, &c., for their use.
I have the honour to be,
Sir,
Your obedient Servant,
J. M. ATKINSON, M.B., (London). Superintendent.
Dr. PH. B. C. AYRES,
Colonial Surgeon, fc., &c., &c.