Zusammenfassung
Rund fünfzehn Jahre nach den ersten tastenden Versuchen hinsichtlich der diagnostischen und therapeutischen Anwendungsmöglichkeiten der künstlich radioaktiven Isotope ist die Diagnostik der Schilddrüsenerkrankungen mit Hilfe des radioaktiven Jods eine Standardmethode der meisten führenden Kliniken der Welt geworden. Es besteht kein Zweifel, daß der Bedarf nach einer Verfeinerung und Vervollkommnung unserer technischen Hilfsmittel zur objektiven Feststellung krankhafter Veränderungen dieses Organs — besonders hinsichtlich seiner Funktion — vorhanden war und auch heute noch ist. Dieser Bedarf ist begründet in den Schwierigkeiten, denen sich der Kliniker in einem beträchtlichen Prozentsatz der Fälle gegenübersieht, wenn es gilt, die oft spärlich vorhandenen und manchmal vieldeutigen klinischen Symptome zur bestimmenden Grundlage seines therapeutischen Handelns zu verarbeiten. Die laboratoriumstechnischen Hilfsmittel wie Grundumsatz, Serumcholesterin, Elektrokardiogramm und andere versagen nicht selten, da sie nicht absolut spezifisch und von vielerlei, außerhalb des eigentlichen Geschehens liegenden Faktoren beeinflußt sind. Nur die chemische Bestimmung des eiweißgebundenen Jods im Plasma darf eine hohe Spezifität für sich beanspruchen, doch ist ihre Durchführung schwierig und zeitraubend und daher für die klinische Routine wenig geeignet.
Aus der II. Medizinischen Universitätsklinik in Wien (Vorstand: Prof. Dr. K. Fellinger)
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© 1955 Springer-Verlag OHG. Berlin · Göttingen · Heidelberg
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Vetter, H. (1955). Die Diagnostik der Schilddrüsen-Erkrankungen mit radioaktivem Jod. In: Heilmeyer, L., Schittenhelm, A., Schoen, R., Glanzmann, E., de Rudder, B. (eds) Ergebnisse der Inneren Medizin und Kinderheilkunde. Ergebnisse der Inneren Medizin und Kinderheilkunde, vol 6. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-94644-8_13
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