| Background:Tubercular thyroid disease is one of the common in the thyroid surgery. The vast thyroid tumour and the giga-nodular goiters in this kind of illness gets sick accounts for the proportion,But still sometimes occurred.Because its course is long and it bulks hugely,it usually complicates with tracheomalacia. In the Period of Operation,Smoothing respiratory tract is the key point of clinical security.Through 16 this kind of the patients' treatment experience,we can believe that remaining tracheal intubation after operation is effective to prevent airway from collapse for tracheomalacia.But to surgeon,they are also paying close attention to how to relieves the indisposition and promote the physical instauration.Objective:By Collecting the data gained four methods of examination from patients of huge and common tubercular thyroid disease,and Summarizing the different pathogenesis of TCM from the two part of patients,to make a primary approach to TCM syndrome differentiation of the patients remaining tracheal intubation after operation,then to promote clinical treatment and take advantage of the superiority of TCM in period of Operation.Methods:16 huge goiter patients who had integrated the standard were to carry on prospective study.After Recorded the data included symptom,sign,tongue pictuer, pulse condition,blood regulations on the first day after operation,the time before extubation,the first day after extubation,the third day after extubation. According to 1:3 proportion,48 patients with common tubercular thyroid disease were collected randomly,and it is recorded that included symptom, sign,tongue pictuer,pulse condition,blood regulations on the first, the third day after operation.Analyzed the information by four diagnostic methods of the two parts of patients.After the data inputted the computer,it would been done consistency analyse and related statistics with SPSS13.0.Consulted the related expert to induce the conclusion.Results:1.The common group:on the first day after operation,cough,white sputum, pharyngalgia,phrasthenia,low grade fever,poor appetite,red tongue with thin-yellow coating and floating pulse occurred more frequently;on the third day after operation,the frequecy of the above symtoms was less,and light colored tongue,dark red tongue,whitish fur,string and slippery pulse were the primarily symboms.2.The giant group:tiredness,fever,restlessness,pharyngodynia,yellow sputum,mouth dryness,insomnia,yellowish urine,constipation,tring and slippery pulse occurred more frequently before extubation.3.The giant group:on the first day after extubation,the frequency of cough and white sputum increased:those of restlessness,insomnia,yellowish urine and constipation reduced;in the tongue and pulse picture:dark red tongue, white or yellow greasy coating,string and slippery pulse held main position, and thready pulse occurred more frequently than before.4.The giant group:on the third day after extubation,the frequency of the above symtoms was less than preceding observation.The frequency of Cough,white sputum,tiredness,poor appetite,dark red tongue with white coating,string and thready pulse was relatively high.short fur accouted 25.00%.5.In the spect of disease course and operation time,the giant group was significant higher than the common group.6.There were no significant difference between the giant and the common group in the WBC and NE%level.Conclusion:1.The characteristics of the common group at the initial stage after operation, was wind-heat exterior syndromes and Sluggishness of Lung-Wei;partial cases manifest blood stasis syndromes.2.The giant group TCM pathogenesis was root deficiency and branch excess, asthenia and sthenia inclusion.From the postoperative to extubation,it characterized phlegm-heat accumulated in the lung and the heart;in the anaphase period,pathogenic heat extinction and deficiency of qi and yin.Weakened body resistance and obstruction of collaterals by blood stasis were more obvious than the common one.
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