ENLARGEMENT OF THE THYROID GLAND IN MALARIA
ENLARGEMENT OF THE THYROID GLAND IN MALARIA
复制标题
疟疾导致的甲状腺肿大
DOI：
10.1136/bmj.2.3073.661
复制
发表时间：
1919
影响因子：
--
通讯作者：
J. Hume
中科院分区：
文献类型：
--
作者：
J. Hume
癌症的诊断。可以说，没有一个癌症病例是从疼痛开始的。有一种流行的错觉，认为癌症总是一种可怕的痛苦，而患晚期癌症的人却说他们以前没有患过癌症，因为他们从来没有经历过任何痛苦。癌症的早期诊断是一个比较困难的问题。一个40岁以上的病人出现血尿。要做什么？马上送他去做膀胱镜检查。40岁以上的血尿症患者十有八九在泌尿生殖道的某个部位得了癌症。45岁以上或经停后出血，且无简单原因者，应尽早治疗。她的子宫更好二十个病例中可能有一个什么也没有发现，但在另外十九个病例中，某个地方有癌。如果一个40岁以上的男人来找你，他不能吞咽，他告诉你他不能吞咽，他有20次中的19次，他有食道癌。用铋粉做X光片就能把它弄清楚。胃癌的首发症状是消化不良。"一个50岁的男人一生中从来没有消化不良，他来找你抱怨消化不良，格雷戈里粉没有治愈，几乎总是这样。carcinoma.你必须让他吃一顿测试餐，看看他的酸度是否正常，让专家给他照了X光。现在，放射科医生检查胃有时被嘲笑，说是没有价值的，但这是因为人们没有找到合适的人来检查胃。x光胃部专家可以诊断几乎每一个病例的胃癌，这是可怕的。乙状结肠破裂是一种很常见的结果。癌细胞这些病人说，他们以前从未有过任何肠道问题。现在他们不得不吃药，时间越长，药越多，时间越长，里面的东西就越多。如果一个50岁的病人来找你，说他得了便秘，而且治不好，而且他体内的便秘足以让他的家人感到不安，甚至让他自己感到不安--想想癌症吧，因为如果能早期诊断，就能取得巨大的成功。9
Diagnosis of Cancer. It would be correct-to say that no case 'of cancer begins with pain. There is a popular delusion that cancer is always a hiideously painful tlhing, and people come with advanced disease wvho say they did not come before because they never hlad any pain. The early diagnosis of canicer is one of the more difficult problems. A patient over 40 years of age comes with 1iaematuria. What is to be done? Send hlim for cystoscopy straight off. In eight times out of ten the man of over 40 with haematuria lhas cancer somewhere in his genito-urinary tract. If a-woman over 45, or after menstruation has ceased, has haeriorrhage, and no simiple cause can be found, tlle sooner. she has her uter-us out the better. Nothing may be found in one case out of twenty, but in thie other nineteen there is carcinoma somewhere. In nineteen times out of twentv, if a man comes to you over 40 years of age and lhe cannot swallow, and he shows you he cannot swallow, he has got carrcinoma of his oesophagds. X ray With bismuth meal will clear tliis up. The first symptom of '"carcinoma of the stomachl is " indigegtion." A man of 50 wlho has ''never had indigestion, all his life and comes to you complaining of indigestion which 'Gregory powder has not cured, nearly always lhas. carcinoma. You must have hiim exa'mined with a test meal toshow wheth'er hehas got a normal acidity and. have hinm x--rayed by a specialist. Now examination of the stomach by the radiologist is sometimes derided and said to be of no value, but that is because people have not got the right man to examine the stomach. The x-ray stomach specialist can diagnose cancer of the stomach in almost every case which comes ehrly. Stricture of the sigmoid colon is a very common result. of carcinorna. These patients say they have never had any trouble with their bowels before. Now they lhave to take medicine and the longer the time the: more the medicine, and the lonaer time the more the ruamblingh inside. If a patient of 50 comes to you saying he has got constipation and cannot got rid of it, and he has rumblings inside enough to keep his family disturbed or even to disturb himself-think of carcinoma, because if it can be diagnosed early it can be treated with great success. 9