The Causation and Treatment of Sudden Dyspnoea in Goitre
نویسنده
چکیده
A person suffering from goitre, who has no dyspnoea or only a very moderate degree of it, may have a sudden and urgent attack, which may be very quickly fatal. There are various theories to account for this, but none of them seem very satisfactory. If hemorrhage has taken place into the goitre, or from the goitre into the tissues around?a condition found in a few of the cases,?we can readily understand how the sudden increase in size will produce the rapid exacerbations of dyspnoea; but such hemorrhage is very rarely found in these cases. The theory of E. Rose1 is founded on pathological data. He found that from the pressure of the enlarged thyroid the rings of the trachea were rendered soft and flaccid, so that after dissecting off all the other structures from the larynx and
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