A SUCCESSFUL CASE OF VENOMOUS
SNAKE-BITE.
By C. P. Oostello, Assistant
Surgeon,
5th Punjab
Cavalry.
As the
pathology and treatment of venomous snake-bite are always worthy of attention, the following notes of a ease which occurred here may be worth publication .? On 12th December, a Ilindoo fakir, named Oomra, aged 30 years, was admitted into the Rajanpore Dispensary. About twenty minutes before admission he had dorsum of the *
The
cobra.
right
foot
by
a
cobra. *
patient'a description of the make left
been bitten on the On admission, he was
no
doubt
as
to it?
being
a
Mat 1,
I860.]
THE PEKING HOSPITAL.?BY I?. HARVEY.
severe shock, and the neighbourhood of the hite was red and swollen. A ligature was immediately tied around the right leg, and a good dose of brandy aud sal volatile administered. As soon as he had somewhat
suffering from all the symptoms of
recovered from the shock, the track of the snake-bite, and the skin, and muscles, &c., encircling it to the extent of a quarter of an inch, were carefully dissected out. Strong nitric acid was then well applied to the wound, 'which was afterwards covered with a linseed meal poultice, to he renewed every three hours. When all this had been done, the ligature around the leg was removed. Ten minimms of liquor ammonise were ordered to
given every three hours. After the first twenty-four hours, he had completely recovered from the shock. lie then, however, began to pass blocd ia very large quantities from the nostrils, gums, stomach, bowels, and To relieve this, twelve minimms of tincture of the be
kidneys. sesquichloride of iron were given every two hours, with occasional doses of brandy, well diluted, as his puke was sinking. A very decided impression was made in the licemorrhage after the first four or five doses of the tincture of the sesquichloride of iron. On the second day of its administration, the blood was confined to the urine, and on the fourth day, it had ceased altogether. 11 e was discharged on the 20th December, but continued as out-patient for weeks afterwards, as he had become quite anaemic, owing to the great loss of blood he had suffered.
03