Sessional_Paper_1903 — Page 337

The varieties met with were:-

Malignant,

Benign Tertian,

Quartan,

Mixed infection,..

Malarial Cachexia,

252

―

.53 %%% .33 %

7.2%

3.4%

3.2%

Table XII gives the varieties met with during each month of the year. Surgical Operations. There were 176 operations performed during the year, as against 188 in 1901. Amongst the most important were the following:-

Liver Abscess.-Five cases were operated on, with two deaths. Post mortem examination proved that in both these cases there were multiple abscesses.

Lithotomy.--Two cases were successfully operated on, in one the lateral opera- tion was performed and in the other the median. The calculus in the former weighed 139 grammes, in the latter 4.5 grammes.

Tracheotomy.-There were two cases operated on for diphtheria with one death. This case was that of a Chinese female child picked up in the street, who was practically moribund when admitted.

Excision of Spleen. This was a case of rupture of the spleen which did not reach the hospital until some hours after the injury. The abdomen was found full of blood, the ruptured spleen was rapidly removed, saline fluid was transfused, but the patient had lost too much blood before admission, and died after the operation.

Femoral Aneurism.-The external iliac was ligatured but as pulsation recurred in the aneurismal sac three days after the operation, the artery was again tied higher up and this time successfully. The patient, a Sanitary Inspector, has since resumed his work.

Anaesthetics.-Chloroform was administered 111 times and ether once.

Fractures and Dislocations.-The following were treated during the year:- Compound Fractures.

No. Deaths.

Compound Fracture of Forearm ... 1

Remarks.

>>

Thigh,

1

"

**

Leg,

7

Arm,

1

Simple Fractures.

Fracture of Thigh,

.10

1

Cause of death Malarial Fever.

77

}}

Leg,

8

11

"}

Skull,

.12

6

"}

"}

Arm,

2

Forearm,

7

.}}

គ

37

"

"

Ribs,

4

3

77

""

Clavicle,

3

Patella,

2

77

17

>>

++

Spinal Column,

1

77

"

Lower Jaw,

1

}}

,, Pelvis,

1

61

9

Dislocations.

Dislocation of Femur,

1

Elbow,

1