668

Report of the Medical Missionary Society.

DEC.

easily and quickly reinoved. A large vein, a branch of the external jugular, bled profusely for two or three moments, but there was very little arterial hemorrhage, two small arteries only required tying. When all bleeding had ceased, the flaps were brought together by sutures and sticking plaster, and with the exception of a small ab- scess which formed at the inferior portion of the wound, everything went on favorably, and on the 28th of the same month, he was dis- charged perfectly well, and without any disfiguration of the features. The tumor was of a fibrous nature, with a large secreting abscess in its centre degenerating the tissue around. It weighed a little more than one pound.

Severe accidents. The second day of the second moon in China is commemorated with much rejoicing as the birthday of the house- hold deities. At an exhibition at the temple in Makok, dedicated to the Queen of Heaven, the goddess of sailors, owing to the immense crowd, a part of the wall gave away, and heavy masses of granite fell upon those who were standing below. One man died from injury to his head, and three others were brought to the hospital. The most important case was a young man, a carpenter, aged 26, belonging to a village in the country, who had a compound fracture of both bones of the arm, with the head of the radius dislocated forwards, with much extravasation of blood and injury to the soft parts. There were also superficial wounds of the face and legs. The inflamma- tion and irritative fever were very severe, and were kept under as much as possible by free leeching, fomentations, aperient febrifuge inedicines, a good position, and perfect rest. When the inflamma- tion and swelling of the arm was somewhat subdued, extension and counter-extension was again made, and splints applied to the arm placed in a half prone position. What effused blood could not be absorbed suppurated, and discharged itself just above the head of the radius, the soft parts having been there contused. As the discharge was considerable and pain great, bread poultices were used twice a day surrounding the elbow joint, which from their moisture and warmth gave great relief. The patient was kept on low diet, and perfect rest of body and arm constantly maintained. Improvement was daily manifest, till on one night, having a necessity to move, and not being able to awake his attendant, he unfortunately fell on the floor; hearing his groans, I immediately went to him; he was put to bed with care, and splints and bandages re-applied. The next day all his symptoms were aggravated: inflammation and suppura- tion in and about the elbow-joint were much increased, but by the

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