ABSTRACT
Average amount of bile collected via choledochostomy T-tube in 147 Thai cholelithiatic patients was 328 ml/day (300-400 ml/day). There was no significant difference among the noncomplicated and obstructive complicated cases. In 28 cases of cholangiocarcinoma, the amount of bile decreased significantly.
ABSTRACT
An unusual chief complaint of methyl bromide poisoning was reported. The patient, a single 32 years-old Thai female, working as a librarian for nine years was the victim. She kept on inhaling vapourized toxic gas from the books and documents previously fumigated for insecticidal purpose during the process of her daily work. She had experienced sniffing and felt weak since starting her career. Serious abnormal feeling occurred three days before admission. Nausea and abrupt abdominal pain around the right iliac fossa were manifested. Acute appendicitis was first diagnosed by a surgeon. The clue that lead to a correct diagnosis was about her occupation. The blood was sent to the toxicology center assessing for toxic materials. The result showed 32.2 mg./100 ml. of methyl bromide contained in the blood. She fortunately escaped from open laparotomy. After six days of hospitalization, she returned to work in a new position as recommended. A follow-up was carried out two months later. The methyl bromide blood level had fallen to 3.21 mg./100 ml. and her health had returned to normal. This was the first reported case of methyl bromide poisoning in Thailand.
Subject(s)
Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Pregnancy , Reoperation , Retrospective Studies , Sclerosing Solutions/therapeutic use , Varicose Veins/complicationsABSTRACT
A clinical study of varicose veins in Thais was carried out in 904 patients diagnosed with varicosis in outpatient clinic, Siriraj Hospital, over a 3-year period from 1982-1984, using carefully clinical examination. 1. The incidence of varicose veins in outpatient clinical was a ratio of 2 per thousand and in hospital treated cases was a ratio of 3 per thousand. 2. The apparently higher prevalence in women especially with one or more children was noted. 3. Attempted analysis of occupations in varicose vein cases has shown that the incidence in occupations which involved prolonged standing and walking was twice that of sedentary jobs. 4. Evidence of deep vein thrombosis and active venous ulcer were found in 0.2% and 1.2% of the patients in this study.