105
These figures should be compared with those stated by
riemer.
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Ka mokros ART II Xrklaarom nati
Injected
No. of
Died
From first to third day
From fourth to seventh day
Later than seventh day
199
36
per cent.
18.1 X
346
94
27.2 X
666
243
36.6 X
From the Tung Wah hospital statistios one may note, E well, that the series in which repeated lumbar punctures were mać while showing an improvement over that in which no treatment
whatever was given, is far from a satisfactory procedure. The mortality in a series of 366 patients treated in this manner was
per cent
54.1 %.Compared with the brilliant results obtained by proper
serum treatment, it is certain that no other methád but the
latter is indicated at all times.
By the proper method of treatment is meant:
1. The use of a potent serum.
2. The injection of the serum sarly in the disease.
3. The injection of sufficient amount in a systematic marmer.
The intravenous injection combined with intraspinal.
4
6
Depending on the severity of the onse and the amount of
spinal fluid withdrawn, 30 to 80 oubio centimeters should be
injected intraspinally. While the temperature remains high and
the meningococcus is still present in the cerebrospinal fluid,
the injections may be repeated every 12 hours. The next interval
between injections should be 24 hours, then 48 hours as improve-
ment ensues. In severe zases, however, the injections are persiste:
in at more frequent intervals. ln one of two cases at Hongkong.
a Portugese patient, in whom the treatment could be properly
followed, improvement followed the use of 600 cubic centimeters
of the Flexer serum. This patient suffered from a very severe
(8)
(9)