w of two cases in which
death took place within the first week, but which went direct to the
Base and did not come under my observation. These exceptions being made,
we have a fairly complete series, from which some deductions may be
drawn. The cases included are marked with an asterisk.
Of the eighteen cases, eight or 44.4 per cent. died. These were made up
as follows:--Stomach, one case; this patient died at the end of fourteen
days, as a result of secondary haemorrhage and septicaemia. It was
complicated by a severe wound of the liver and also one of the lung.
Small intestine, four certain cases; all died, two after operation in
the stage of septicaemia, and one after operation from recurrent
haemorrhage, possibly from the mesentery. Of the other six cases one can
only say that the position of the wounds was such as to render wound of
the intestine possible, and that all suffered with abdominal symptoms of
some severity.
Large intestine. Of six cases in which wound was certain, three died,
one after operation. One recovered after operation, two recovered with
local peritoneal suppuration. In one case the injury could only be
returned as possible.
In connection with this subject I have received permission from Mr.
Watson Cheyne to quote the statistics published by him[23] concerning
the abdominal wounds observed after the fighting at Karree Siding, on
March 29, which are as follows:--
'The number of the wounded was 154, and in fifteen it was
considered that the abdominal cavity had been penetrated. Of
these patients, five had already died within twenty-four to
twenty-eight hours after the injury, and I saw ten who were
still alive. Of these nine were left alone, and four died
within the next twenty-four or thirty-six hours; five were
still alive when I left Karee on Sunday afternoon, April 1. On
one I operated, but he died on April 2.
The Karee statistics are really the only complete ones which I
have as yet been able to obtain. The following are the notes of
the cases above alluded to.
Besides the five cases of abdominal wounds which had already
died, and of which I could get no complete details, the
following ten are cases which I saw from twenty-four to thirty
hours after they were shot:--
CASES FROM THE ACTION AT KAREE
CASE I.--The point of entrance was 2 inches to the right of the
umbilicus, and the bullet
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