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tion of serum combined with intra-muscular injection seems the
best method for ensuring rapid absorption in the system. No ill
effects were ever noticed when this was tried.
For cases in whom toxemia was marked, the administration of
20 c.c. 50% sterile glucose solution intra-venously, combined with
glucose solution in large quantities orally appeared to be most satisfactory
in improving the pulse and general condition. "Coramine,"
given in doses of 0.5 cc to 1.7 c.c. intra-muscularly as a heart
stimulant, was also satisfactory, as an alternative or given in combination
with injections of 1 c.c. Camphor in oil. Adrenalin Hydrochloride
1-1,000 solution in sub-cutaneous doses of 0.5 to 1 c.c.
also proved beneficial in toxic cases with marked cardiac weakness.
Typhoid and Para-Typhoid Fever.
Only three cases of Typhoid Fever were admitted, and in all
three the diagnosis was confirmed.
Eight cases of Para-Typhoid Fever were admitted and in these
also the diagnosis confirmed.
All the cases recovered.
Puerperal Fever.
Three cases were admitted with a diagnosis of Puerperal
Pyrexia and eleven with a diagnosis of Puerperal Fever.
The analysis of these cases was as follows:—
In one cases the diagnosis was not confirmed.
In five cases the infection was limited to the uterus, vagina
or perineum.
In five cases the infection had reached the pelvic cellular
tissues, ovaries, fallopian tubes, pelvic peritoneum, etc.
In three cases the infection had spread beyond the pelvis to
cause general peritonitis, septicaemia, etc. Of these three, two
died.
The cases of Puerperal Fever and Puerperal Pyrexia were
admitted under the Maternity and Child Welfare Scheme, the unit
at the Borough Hospital forming a link in that scheme.