Collapse Therapy.
105. It is felt that collapse therapy still has a place in the treatment of pulmonary tuberculosis but confidence in the efficacy of simple pneumoperitoneum as a treatment measure is rapidly evaporating. Artificial pneumothorax is still considered good treatment but it appears that since the introduction of prolonged preliminary chemotherapy the chances of establishing satisfactory collapse are considerably reduced. As a result of these findings temporary collapse measures appear to be on the way out but established cases still continue treatment at the clinica.
of the long-term tubercular patients and the presence of tuber- cular patients in these hospitals is not always welcome. In addition frequent transfer of patients between the various hospitals according to the needs of the patient necessitates much unproductive work. The difficulties of medical supervision need no emphasis.
109. These beds are, for statistical purposes, regarded as a single unit. Details of admissions and discharges were as follows:
Table 11
7256. 1958.
Table 10
1855.
1966.
Reds occupied as at let January, 1956 Admissions
314
298
507
499
Induction Refills
Discharged:
4.611
2,022
Artificial Pneumothorax
Abandoned
Unsatisfactory Completed treat-
ment
22
13
(1) Completed creatment
{
Improved Unchanged Worse
461 439
34
13
Ü
26
84
12
15
Inductions Refilla
442
139
་༥༤་་
9
10
20,602
17,866
17
2
Pneumo-peritoneum
Unsatisfactory--
71
299
298 211
migrat
96
106
Abandoned; { Completed treat-
106. The number of refills at the end of the year had con- siderably fallen and it has since been found possible to reduce the number of sessions set aside for the work. The time thus made available has been set aside for the purpose of dealing with X-ray survey cases in special groups apart from the normal sessions as it would appear that the demand for X-ray surveys is likely to increase.
Hospital Treatment.
107. The beds maintained in government hospitals for the diagnosis and treatment of chest disease are as follows:
Queen Mary Hospital, mainly surgical Lai Chi Kok Hospital, mainly medical
convalescent
TA
SUZ
St. John Hospital, Cheung Chau, mainly medical
and convalescont
ㄓ
(2) Discharged against medical advice (3) Died
(4) Transferred to other hospitals Beds occupied as al 31st December
110. The fall in admission is due to stagnation of patients awaiting surgical treatment, and the number of patients on the waiting list ia steadily increasing.
111. follows:
DET
Details of treatment of patients in hospitals are as
Table 12
1955.
Jusa,
Artificial Pneumothorax { Induction
132
TI
Refills
2.02%
1,105
Thoracoscopy
34
17
Paeumo-peritonewo {
Induction Realls
42
1.849
49
63
4
17
116
76
Lobectomy
2 10
32
Phrenic nerve operation Thoracotomy
Bronchoscopy
Thoracoplasty (Stages)
Plombage
Pneumonectomy
Resection
2,358
920
108. These beda are widely scattered in general hospitals under the administrative control of the respective medical super- intendents. The facilities provided are not suited to the needa
30
112. There has been a substantial fall in the temporary collapse measures which has affected pneumoperitoneum morg than pneumothorax. A greater proportion of pneumoperitoneum cases are now combined with phrenic nerve operations. Phrenic
91
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