539751-1905-Report-of-the-Principal-Civil-Medical-Officer-for-1904 — Page 22

THE HONGKONG GOVERNMENT GAZETTE, 28TH APRIL, 1905.

Table IX.-— ADMISSIONS into and DEATHS in VICTORIA HOSPITAL under respective Diseases.

573

Typhoid Fever, Febricula,

Whooping Cough,

Dengue Fever,

Diphtheria,

Dysentery,

Malarial Fever,

DISEASE.

Cachexia,

Rheumatism,

ADMISSIONS.

Rheumatic Gout,

Gout,

Diseases due to Animal Parasites,

Congenital Malformation,

Debility,

Gonorrhoea,

Diseases of Nervous System,

6

3

Circulatory

Respiratory

12

19

"

Digestive

18

•

Lymphatic

1

.་

..

Eye,

""

"

Ear,

"?

Female Organs,

哆喃

Skin,

Female Breast,

Urinary System,

Conuective Tissue,

Injuries,

Under Observation,

26

Parturition,

10

Total,

133

DEATHS.

12

1

J. M. ATKINSON,

Medical Officer in Charge.

APPENDIX.

RUPTURED TUBAL PREGNANCY. OPERATION. RECOVERY,

A Chinese, aged 27, was admitted to hospital on 25th May, 1904, having been seen three hours previously by Dr. JORDAN who on the above diagnosis advised her immediate removal with a view to operation.

On admission patient was very blanched with a quick running pulse (156) and complaining of great abdominal pain. The operation was at once proceeded with, Dr. Koch kindly giving chloroform. The abdomen was opened in the middle line and blood and blood clot rapidly cleared out A foetus, between 4th and 5th month, was found. The pregnancy had occurred in the right tube close to its entrance into the uterine cavity. The placenta was growing on the uterus. The peritoneal covering around this was incised and the whole sliced off opening the uterine cavity by a hole which admitted the tip of the little finger.

This was closed with six thick silk sutures and the abdominal cavity washed out with saline fluid an closed with silk.

For 48 hours the patient's condition was very critical requiring close nursing and constant stimulation (strychnia, camphor, &e). The temperature rose on the 5th day to 105.° And the os was then dilated giving exit to a decidual mem- brane which at once reduced the temperature. The abdominal incision healed without any trouble and the patient was discharged on the 13th June quite well.

Remarks. The rate of mortality for this operation being so high, successful cases are worth reporting. It is extremely fortunate for this patient that her hus- band had the gool sense to send for a medical man and to follow his advice. The treatment and the special condition met with are also somewhat out of the ordinary. None of the books at our disposal mention the possibility of the pla- centa being attached to the uterus nor what should be the line of treatment under this condition.