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KMID : 0378019730160070076
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New Medical Journal
1973 Volume.16 No. 7 p.76 ~ p.83
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Clinical Observation and Nursing Care on Hyperthyroidism
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Abstract
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A clinical analysis was made on 128 cases of hyperthyroidism observed at the Radioisotope Laboratory of Kyungpook National University Hospital from January 1970 to December 1971, during about 2 years.
1) This series consisted of 116 cases of diffuse goiter and 12jcases of nodular goiter.
2) Hyperthyroidism was most prevalent in the female to the male, the ratio was 7:1.
3) The clinical symptom in the order of frequency were easy fatigability, Palpitation, weight loss,
nervousness, perspiration, heat intolerance, increased appetite, insomnia, decreased appetite, dysmenorrhea, diarrhea and Costipation.
4) Major physical findings observed were goiter, fine tremor, wide pulse pressure, warm moist skin, exophthalmos and systolic Hypertension.
5) Mean Values in the six hour and twenty-four hour 13´1 uptake bythe thyroid glands were 62.4% and 73.5%, respectively, in diffuse goiter and 60.7% and 67.5%, respectively, in nodular goiter.
6) Mean Values in twenty-four PB 13´I Conversion ratio were 70. 8% in diffuse goiter and 65.3% in nodular goiter.
7) Basal metabolic rates were +48.0% in the diffuse goiter and +39.2% in nodular goiter.
8) Among the 101 cases treatment with 13´I, 50 cases (49.5%) were successfully controlled with a single dose and in the majority of the cases the initial therapeutic does required was 4.1-5.OmC in diffuse goiter and 5.1-6.OmC in nodular goiter.
9) Summer makes the highest figure of the first physical exam case out of all seasons-in order of August, July and June.
10) Diagnostic tests and nursing for hyperthyroidism cases are well performed. The difficulty, however, is that most patients return home instead of being admitted, so close observation for the effect of treatment and continuous immediate nursing are hard to be made.
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