RESUMEN
Goitre is quite common disease in our country and Rangoon General Hospital as well, and it is suggested to have a Thyroid Clinicin Rangoon General Hospital for proper and adequate management for all etyps of goitre cases to reduce unnecessary morbidity and mortality. 80 cases of thyrotoxicosis diagnosed both by clinical and biochemical means, were treated surgically, after preoperative preparation with Beta-adrenergic blocker, Propranolal (Inderal) alone for 4 day only. The thyroid gland was found to be pliable and easily mobilised with minimal blood loss in 96 per cent of cases. 20 per cent of the cases do not need blood transfusion and 24 per cent of the cases were operated with out the aid of diathermy coagulation. Increased blood loss is seen in 6per cent of cases with huge long standing toxic multinodular goitres where neomercazole had been taken and some local application of Burmese Medicine causing adhesions between the thyroid gland and the strap muscles. This method offers time and economic cost to the patient and the hospital with maximum safety for the surgeon as well.
Asunto(s)
BocioRESUMEN
Incidence of chest injuries admitted into R.G.H. during the year 1954 was mentioned. Pathology of traumatic haemothorax is discussed. Most of the cases of traumatic haemothorax who survived the journey to the hospital can be treated conservatively. Emphasis on coverting all the open penetrating injuiries of the closed one is stressed. Management of traumatic haemothorax was briefly described. Primary aim of the treatment as re-expansion of lungs, preventing the formation of Empyema and Fibrothorax advised. Author is grateful to the Medical Superintendent of R.G.H. for allowing the use of case charts and X-rays.