280
Table IX. ADMISSIONS into and DEATHS in VICTORIA HOSPITAL under respective Diseases.
Typhoid Fever, Febricula,
Whooping Cough,
Dengue Fever,
Diphtheria,
Dysentery,
Malarial Fever,
"
DISEASE.
Cachexia,
Rheumatism,
Rheumatic Gout,
Gout,
Diseases due to Animal Parasites,
Congenital Malformation,
Debility,
Gonorrhoea,
Diseases of Nervous System,
ADMISSIONS.
DEATHS.
3
1
2
1
2
2
7
5
1
- 1
1
1
...
►
1
23
Circulatory
1
19
59
Respiratory
12
2
19
**
ور
Digestive
18
""
"
Lymphatic
1
་་
37
:1
Ear,
Eye,
5
1J
ל
Female Organs,
"J
5
Skin,
2
**
Female Breast,
""
"2
Urinary System,
4
1
19
""
Connective Tissue,
2
Injuries,
2
Under Observation,
26
Parturition,
10
Total,
133
4
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 fœtus, 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 and closed with silk.
For 48 hours the patient's condition was very critical requiring close nursing and constant stimulation (strychnia, camphor, &c). The temperature rose on the 5th day to 105. And the os was then dilated giving exit to a decidual mein- 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 good sense to send for a medical man aud 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.
No comments yet.
Private notes are available after approval.