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Biomedical subjects

S Sriussadaporn

Publications and source records attributed to S Sriussadaporn.

4 recordsLinked to original sources

A review of 1338 patients with acute upper gastrointestinal bleeding at Chulalongkorn University Hospital, Bangkok.

Acute upper gastrointestinal bleeding (UGIB) is a major gastroenterological problem in Thailand. Peptic ulcer has remained the leading cause of UGIB, followed by acute mucosal erosions, and variceal bleeding. In the present study, covering the period between 1980 and 1984, early endoscopic diagnosis was obtained in 82% of cases, while conservative treatment was effective in 83.6%. Factors associated with increased mortality were advanced age, shock, sepsis nonsteroidal anti-inflammatory drug (NSAID) ingestion, severe blood loss, associated diseases and surgical treatment. The overall mortality was 6.7 percent.

Acute Disease

Sertoli-cell-only syndrome: a case report.

A 20-year-old male presented with a small hydrocoele in the left scrotal sac, bilateral small testes, and azoospermia with normal secondary sexual characteristics. Chromosome study revealed 46,XY. The results of hormonal and histopathological studies were consistent with Sertoli-cell-only syndrome.

Adult

Complete heart block complicating hyperthyroidism: a case report.

Complete heart block developed in a 29-year-old man with hyperthyroidism and acute febrile illness. The definite cause of acute febrile illness was unknown. The results of bacteriological and viral studies were negative. Endomyocardial biopsy revealed no evidence of carditis which is the common cause of heart block. All the abnormalities resolved completely after the fever subsided and the patient was treated with an antithyroid drug. Available information indicates that a high degree of heart block can sometimes occur in hyperthyroidism in either the presence or absence of additional factors which can independently impair atrioventricular conduction. This course of events which occurred in this patient suggest that complete heartblock may have been the direct manifestation of the hyperthyroid state, however, the acute febrile illness may have been an aggravating factor in the development of abnormal atrioventricular conduction.

Adult