* ﺝ
ﻳدﺎﺘﺳا ﻲﺣاﺮﺟ هوﺮﮔ رﺎ ﻲﻣﻮﻤﻋ
، هﺎﮕﺸﻧاد ﻲﻜﺷﺰﭘ مﻮﻠﻋ ﻢﻗ
، نﺎﺘﺳرﺎﻤﻴﺑ ﺮﺼﻌﻴﻟو ) ﺞﻋ ( ﻢﻗ ﻮـﮕﺨﺳﺎﭘ ةﺪﻨﺴﻳﻮﻧ
: ﺮﺘﻛد يرﻮﭘﺎﺷ ﻦﻳوﺮﭘ
لﻮﺻو ﺦﻳرﺎﺗ : 15 / 05 / 1387 ﻦﻔﻠﺗ
: 2924845 - 0251
شﺮﻳﺬﭘ ﺦﻳرﺎﺗ :
01 / 10 / 1387 Email: [email protected]
شراﺰﮔ ﻲﻔﻠﺧ ﻦﺘﺳﺎﻳﺪﻣ رد رﻻوﺪﻧ ﻲﺘﻟﻮﻣ ﺮﺗاﻮﮔ ردﺎﻧ درﻮﻣ ﻚﻳ
ﺮﺘﻛد يرﻮﭘﺎﺷ ﻦﻳوﺮﭘ
*
ﻭ ﻩﮊﺍ ﻱﺪﻴﻠﻛ ﻱﺎﻫ :
ﺪﻣ ،ﺮﺗﺍﻮﮔ ﻳ ﯽﻧﺩﺮﮔ ﺵﺮﺑ ،ﯽﻔﻠﺧ ﻦﺘﺳﺎ
ﻨﻴﻣز ﻪ فﺪﻫ و
يدورو زا ﻪــﻛ ﺪﻨﺘــﺴﻫ ﻲﻳﺎــﻫﺮﺗاﻮﮔ ،ﻦﺘــﺳﺎﻳﺪﻣ يﺎــﻫﺮﺗاﻮﮔ ﻲﻣ ﻦﺘﺳﺎﻳﺪﻣ ﺖﻤﺳ ﻪﺑ ﺲﻛارﻮﺗ ﺪﻧور
. و مﻮﻧﺮﺘـﺳا ﻒﻠﺧ رد ﺐﻠﻏا
ﻲﺗرﺎﺒﻋ ﻪﺑ ﺪﻧراد راﺮﻗ ﻲﻣاﺪﻗ ﻦﺘﺳﺎﻳﺪﻣ رد
. ﻦﺘـﺳﺎﻳﺪﻣ يﺎﻫﺮﺗاﻮﮔ
ﻲﻣ راﺮﻗ ﻪﺷاﺮﺗ ﺎﻳ يﺮﻣ ﻒﻠﺧ رد ،ﻲﻔﻠﺧ و ﺪﻧﺮﻴﮔ
و ﺪـﻧردﺎﻧ ﻲـﻠﻴﺧ
4 % يﺎﻫﺮﺗاﻮﮔ ﻪﻤﻫ ﻦﺘﺳﺎﻳﺪﻣ
ﻲﻣ ﻞﻴﻜﺸﺗ ار ﺪﻨﻫد
1.
يﺎﻫﺮﺗاﻮﮔ ﻲﺣاﺮﺟ ﻪﺸﻴﻤﻫ ﻦﺘﺳﺎﻳﺪﻣ
ﺖـﺷاد ﺮﻈﻧ رد ﺪﻳﺎﺑ ار .
و ﺖـﺳا دﺎﻳز ﻪﺷاﺮﺗ يور رﺎﺸﻓ ﺮﻄﺧ نﻮﭼ ﻦﺴﻣ نارﺎﻤﻴﺑ رد ﻲﺘﺣ ﻲﻓﺮﻃ زا ﻄﺧ ﻲﺣاﺮﺟ ﻞﻤﻋ ـ
دراﺪﻧ يﺮ .
شﻮﺧ ﻲﻣاﺪﻗ ﻦﺘﺳﺎﻳﺪﻣ يﺎﻫﺮﺗاﻮﮔ ﺮﺘﺸﻴﺑ زا و ﺪﻨﺘـﺴﻫ ﻢﻴـﺧ
ﻲﻣ ﻲﻧدﺮﮔ شﺮﺑ ﻖﻳﺮﻃ
ﺖـﺷادﺮﺑ و دﺮـﻛ ﻲﺣاﺮﺟ ار ﺎﻬﻧآ ناﻮﺗ .
رد
ﻲﻤﻛ داﺪﻌﺗ زا
ﺲﻛارﻮـﺗ ﻞﺧاد گرﺰﺑ ﻲﻠﻴﺧ يﺎﻫﺮﺗاﻮﮔ نارﺎﻤﻴﺑ زا
ﻪـﺑ زﺎـﻴﻧ دﺪـﺠﻣ ﻲـﺣاﺮﺟ دراﻮـﻣ و ﺎـﺠﺑﺎﻧ ﺪﻴﺋوﺮﻴﺗ ،ﻢﻴﺧﺪﺑ عﻮﻧ ﺪﻧراد ﻲﻣﻮﺗﻮﻧﺮﺘﺳا
2.
و
3
رد ءﺰـﺟ ندﺮـﻛ جرﺎـﺧ ﻲـﻔﻠﺧ ﻦﺘـﺳﺎﻳﺪﻣ يﺎﻫﺮﺗاﻮﮔ درﻮﻣ
ﻦﺘﺳﺎﻳﺪﻣ ﻞﻜﺸﻣ ندﺮﮔ ﻖﻳﺮﻃ زا
ﺖﺳا ﺮﺗ
4 و
نارﺎـﻤﻴﺑ ﻲﻀﻌﺑ رد و5
ﺪﺷﺎﺑ ﻲﻣ ﺰﻴﻧ ﻲﻣﻮﺗﻮﻛارﻮﺗ مﺎﺠﻧا ﻪﺑ زﺎﻴﻧ
، ﻦـﻳا زا ﻲـﺳﺮﺘﺳد اﺮـﻳز
نﺎﺳآ ﻖﻳﺮﻃ ﻲﻣ لﺮﺘﻨﻛ ﺮﺘﻬﺑ قوﺮﻋ و ﺖﺳا ﺮﺗ
ﺪﻧﻮﺷ
6.
و 7
ﻣ رﺎﻤﻴﺑ ﻲﻓﺮﻌ
يﺎﻗآ رﺎﻤﻴﺑ 56
سﺎﺴﺣا و ﻊﻠﺑ ﻞﻜﺸﻣ ﺖﻳﺎﻜﺷ ﺎﺑ ﻪﻟﺎﺳ ﻲﮕﻔﺧ
زا ًﺎﺠﻳرﺪﺗ ﻪﻛ ﺲﻔﻧ ﻲﮕﻨﺗ و 5
ﺎﺗ 6 هﺪﺷ عوﺮﺷ ﻪﻌﺟاﺮﻣ زا ﻞﺒﻗ هﺎﻣ
دﺮـﻛ ﻪـﻌﺟاﺮﻣ ،دﻮﺑ .
ﻪـﻴﻟوا تﺎـﻨﻳﺎﻌﻣ رد
، ﺮـﺳ و و ﺰـﻣﺮﻗ ندﺮـﮔ
ﺪﻴﻜﭼ ﻩ : ﺎﻫﺮﺗﺍﻮﮔ ﻱ ﺪﻣ ﻳ ﻔﻠﺧ ﻦﺘﺳﺎ ﻲ ﺧ ﻴﻠ ﻲ ﺷﺎﻧ ﺐﻠﻏﺍ ﻭ ﺪﻧﺭﺩﺎﻧ ﻲ
ﻧﺎﺘﺤﺗ ﻞﭘ ﻝﻭﺰﻧ ﺯﺍ ﻲ
ﺗ ﻩﺪﻧﻮﺷ ﮒﺭﺰﺑ ﺏﻮﻟ ﻴ
ﺋﻭﺮ ﻴ ﺎﭘ ﺖﻤﺳ ﻪﺑ ﺪ ﻴﻳ
ﻣ ﺝﺭﺎﺧ ﻭ ﻦ ﻲ
ﺪﺷﺎﺑ . ﺑ ﺐﻠﻏﺍ ﻴ ﺩﻮﺗ ﺎﺑ ﻥﺍﺭﺎﻤ ﺓ
ﺎﮑﺷ ﻭ ﻥﺩﺮﮔ ﻳ
ﺷﺎﻧ ﺕﺎ ﻲ ﺭﺎﺸﻓ ﺯﺍ ﻳ ﺮﻣ ،ﻪﺷﺍﺮﺗ ﻑﺍﺮﺤﻧﺍ ﺎ ﻱ
ﻳ ﺭﻭ ﺎ ﻳ ﻧﺎﻗﻮﻓ ﻑﻮﺟﺍ ﺪ ﻲ
ﻣ ﻪﻌﺟﺍﺮﻣ ﻲ ﺪﻨﻨﮐ . ﺨﺸﺗ ﻴ ﻓﺍﺮﮔ ﺎﺑ ﺺ ﻲ ﺴﻔﻗ ﺔ ﺳ ﻴ ﺳ ،ﻪﻨ ﻲ ﺗ ﻲ ﺴﻔﻗ ﻦﮑﺳﺍ ﺔ ﺳ ﻴ ﻭ ﻥﺩﺮﮔ ﻭ ﻪﻨ
ﺭﺎﺑ ﺎﺑ ﻡﺍﺮﮔﻮﮔﺎﻓﻭﺯﺍ ﻳ
ﻣ ﻢ ﻲ ﺪﺷﺎﺑ .
ﮔﺭﺰﺑ ﻲ ﭘﻴ ﺸ ـ ﻭﺮ ﺧ ﺮﻄﺧ ،ﻩﺪﻧ ـ
ﺮﻧﻮ ﻳ ﺰ ﻱ ﻬﮔﺎﻧ ـ ﻧﺎ ﻲ ﺧﺍﺩ ﺭﺩ ـ ﺪﻏ ﻞ ﺓ ﺗﻴ ﺋﻭﺮ ﻴ ﻣ ﺲﻔﻨﺗ ﻥﺪﺷ ﻞﺘﺨﻣ ﺚﻋﺎﺑ ﻪﮐ ﺪ ﻲ
ﺧﺪﺑ ﻝﺎﻤﺘﺣﺍ ﻭ ﺩﻮﺷ ﻴ
ﻤ ﻲ ﻤﻋ ،ﻩﺍﺮﻤﻫ ـ ﺟ ﻞ ـ ﺣﺍﺮ ﻲ ﻟﺍ ﺍﺭ ـ ﻣﺍﺰ ﻲ
ﻣ ﻲ ﺩﺯﺎﺳ . ﻤﻌﻣ ـ ﹰﻻﻮ ﺣﺍﺮﺟ ﻞﻤﻋ ﻲ ﺮﻃ ﺯﺍ ﺲﮐﺍﺭﻮﺗ ﻞﺧﺍﺩ ﺮﺗﺍﻮﮔ ﻳ
ﻥﺩﺮﮔ ﻖ ﻳ ﻭﺮﺳ ﺎ ﻳ ﺳﺍﺭﻮﺗﻮﮑ ﻴ ﻣ ﻡﺎﺠﻧﺍ ﮏ ﻲ ﺩﻮﺷ .
ﺑﻴ ﺎﻗﺁ ﺎﻣ ﺭﺎﻤ ﻱ ۵۶ ﮕﻨﺗ ﺎﺑ ﻪﮐ ﺩﻮﺑ ﻪﻟﺎﺳ ﻲ
ﺲﻔﻧ
، ﺳ ﺘﺨ ﻲ ﺮﺳ ﻭ ﻊﻠﺑ ﻭ ﻡﺎﺠﻧﺍ ﺯﺍ ﺲﭘ ﻪﮐ ﺩﺮﮐ ﻪﻌﺟﺍﺮﻣ ﻪﺘﺧﻭﺮﻓﺍﺮﺑ ﻭ ﺰﻣﺮﻗ ﻥﺩﺮﮔ ﻲﺳ
ﻲﺗ ﺴﻔﻗ ﻭ ﻥﺩﺮﮔ ﺔ
ﺳ ﻴ ﺭﺩ ﻩﺩﻮﺗ ،ﻪﻨ
ﺪﻣ ﻳ ﻔﻠﺧ ﻦﺘﺳﺎ ﻲ ﺗ ﺖﺳﺍﺭ ﺏﻮﻟ ﺄﺸﻨﻣ ﺎﺑ ﻴ
ﺋﻭﺮ ﻴ ﺳﺭﺮﺑ ﺯﺍ ﺲﭘ ﻭ ﺪﺷ ﻪﻈﺣﻼﻣ ﺪ ﻲ
ﺎﻫ ﻱ ﺮﻃ ﺯﺍ ﻞﻤﻋ ﻡﺯﻻ ﻳ
ﻧﺩﺮﮔ ﺵﺮﺑ ﻖ ﻲ
ﺗ ﺕﺭﻮﺻ ﻪﺑ ﻴ ﺋﻭﺮ ﻴ ﻣﻮﺘﮐﺪ ﻲ ﻝﺎﺗﻮﺗ ﺏﺎﺳ ﺝﺭﺎﺧ ﺎﺑ ﻩﺍﺮﻤﻫ
ﺪﻣ ﺀﺰﺟ ﻥﺩﺮﮐ ﻳ
ﻔﻠﺧ ﻦﺘﺳﺎ ﻲ ﺍ ﺪﺷ ﻡﺎﺠﻧ .
ﺖﻤـﺳ رد و دﻮﺑ رﻻوﺪﻧ ﻲﺘﻟﻮﻣ و گرﺰﺑ ﻲﻤﻛ ﺪﻴﺋوﺮﻴﺗ و ﻪﺘﺧوﺮﻓاﺮﺑ هدﻮﺗ ندﺮﮔ ﺖﺳار
،دﻮﺑ هدﺮﻛ ﺮﭘ ار هﻮﻗﺮﺗ يﻻﺎﺑ ﺮﺘﺸﻴﺑ ﻪﻛ يا ﺲﻤﻟ
ﻲﻣ ﺪﺷ .
ﻤﻴﺑ ـ رﺎ ﻲﺳ ﻜﺳا ﻲﺗ ـ ﻦ ﮔ ـ ﺴﻔﻗ و ندﺮ ﻪﻨﻴﺳ ﺔ
هدﻮﺗ ﻪﻛ ﺪﺷ يا
ﻣ رد ـ ﻔﻠﺧ ﻦﺘﺳﺎﻳﺪ ـ
ﺸﻨﻣ ﺎﺑ ﻲ ـ ﺎ ء ﻟ ـ ﺳار بﻮ ـ ﺖ ـﻫﺎﺸﻣ ـ هﺪ ﺪـﺷ
) ﺮﻳﻮﺼﺗ 1 ( و ﺖـﺷاد يﺮـﻣ و ﻪﺷاﺮﺗ يور يرﺎﺸﻓ ﺮﺛا ﺖﺸﭘ زا ﻪﻛ
دﻮﺑ هدﺮﻛ فﺮﺤﻨﻣ ار ﺎﻬﻧآ .
ﺮﻳﻮﺼﺗ ۱ ﻲﺳ ـ ﻦﻜﺳﺍ ﻲﺗ
ــﻬﺟ ـ ــﻔﺴﻳد ﻲــﺳرﺮﺑ ﺖ ـ
ﻪــﻌﺟاﺮﻣ زا ﻞــﺒﻗ رﺎــﻤﻴﺑ ،يژﺎ
دﻮﺑ هﺪﺷ يﺮﻣ ﻲﺴﭘﻮﻴﺑ و ﻲﭘﻮﻜﺳوﺪﻧآ بﺎﻬﺘﻟا يژﻮﻟﻮﺗﺎﭘ شراﺰﮔ و
ﻤﻫ ﺪﻳﺪﺷ ـ لﻮﻠﺳ ﺎﺑ هاﺮ ﻲﭘا يﺎﻫ
دﻮـﺑ ﻚﻴﭙﻴﺗآ لﺎﻴﻠﺗ .
ﺖـﺴﺗ يﺎـﻫ
ﻠﻤﻋ ـ ﻴﺗ دﺮﻜ ـ ﺘﻜﻟا و ﺪﻴﺋوﺮ ـ
ﺖﻴﻟوﺮ ـﻴﺴﻠﻛ و ﺎﻫ ـ
ﻞـﻤﻋ زا ﻞـﺒﻗ ﻢ
ﺪﻧدﻮﺑ لﺎﻣﺮﻧ .
ﻪـﺑ شﺮﺘـﺴﮔ ﺎـﺑ رﻻوﺪـﻧ ﻲﺘﻟﻮـﻣ ﺮﺗاﻮـﮔ ﺺﻴﺨﺸﺗ ﺎﺑ رﺎﻤﻴﺑ
ﺪﺷ ﻲﺣاﺮﺟ ﻞﻤﻋ ﺪﻳﺪﻧﺎﻛ ﻲﻔﻠﺧ ﻦﺘﺳﺎﻳﺪﻣ .
ﻪﻣﺎﻧﺮﺑ ﻞـﻤﻋ يﺰﻳر ﺟ
آ ﻪـﻳﺎﭘ ﺮـﺑ ﻲـﺣاﺮ ﺖـﻬﺟ ندﻮـﺑ هدﺎـﻣ
ﻟﻮﻟ ـ ﻪ
ـﻤﺘﺣا و ﻞﻜـﺸﻣ يراﺬﮔ ـ
ﻲﻣﻮـﺗﻮﻛارﻮﺗ لﺎ ﻮـﺑ
د . رد رﺎـﻤﻴﺑ
ﻪﻟﻮﻟ ﺖﺸﭘ ﻪﺑ هﺪﻴﺑاﻮﺧ ﺖﻴﻌﺿو ﺪﺷ يراﺬﮔ
. ﻲـﻧدﺮﮔ شﺮﺑ ﺎﺑ
، بﻮـﻟ
ءﺰـﺟ ﺎـﺑ هاﺮـﻤﻫ ًﻼﻣﺎـﻛ ﺖﺳار بﻮﻟ و لﺎﺗﻮﺗ بﺎﺳ ترﻮﺻ ﻪﺑ ﭗﭼ ﻦﺘﺳﺎﻳﺪﻣ ﻠﺧ
ﻔ ﺪﺷ جرﺎﺧ ﻲ )
ﺮﻳﻮﺼﺗ 2 ( .
ﺮﻳﻮﺼﺗ ۲ ـ ﺗ ﻪﻧﻮﻤﻧ ﻩﺪﺷ ﻪﺘﺷﺍﺩﺮﺑ ﺓﺩﻮ
ﻋ ﺖﺳا ﺮﻛذ ﻪﺑ مزﻻ ﻞـﻤﻋ ﻦﻴـﺣ فﺮـﻃ ود ﺮـﻫ ﻪﻌﺟار ﺐﺼ
ﺪﻧﺪﺷ ﻆﻔﺣ ﺰﻴﻧ ﺎﻫﺪﻴﺋوﺮﻴﺗارﺎﭘ و ﺪﺷ رﻮﻠﭙﺴﻛا .
ـﻟﻮﺗﺎﭘ ﻲﺑﺎﻳزرا ـ
دﻮـﺗ ﻚﻳژﻮ ة
ـﻣ ـ ـﻔﻠﺧ ﻦﺘﺳﺎﻳﺪ ـ
ﺖـﻓﺎﺑ و ﻲ
ﺪﻴﺋوﺮﻴﺗ
،
ـﮔ هﺪـﻨﻨﻛ حﺮﻄﻣ ـ
ـﻧ ﻲﺘﻟﻮـﻣ ﺮﺗاﻮ ـ
ﺖـﻓﺎﺑ نوﺪـﺑ رﻻوﺪ
دﻮﺑ ﺪﻴﺋوﺮﻴﺗارﺎﭘ )
ﺮﻳﻮﺼﺗ 3 ( .
ﺮﻳﻮﺼﺗ ۳ ﯼﮊﻮﻟﻮﺗﺎﭘ ـ
و ﺪـﺷ فﺮـﻃﺮﺑ ﻢـﺋﻼﻋ ﻞﻤﻋ زا ﺪﻌﺑ
صﺮـﻗ ﻚـﻳ ﺎـﺑ رﺎـﻤﻴﺑ
ﻦﻴﺴﻛوﺮﻴﺗوﻮﻟ 100µ
ﺪﺷ ﺺﺧﺮﻣ ﻪﻧازور .
ﻲـﺳرﺮﺑ رد 6
ﺪـﻌﺑ هﺎـﻣ
دﻮﺑ لﺎﻣﺮﻧ ﺰﻴﻧ يﺮﻣ دﺪﺠﻣ ﻲﭘﻮﻜﺳوﺪﻧآ و دﻮﺑ ﺖﻣﻼﻋ نوﺪﺑ رﺎﻤﻴﺑ .
ﺚﺤﺑ ﻪﺠﻴﺘﻧ و يﺮـﻴﮔ
ﻣ سﺎﺳاﺮﺑ ـ
ﻤﻠﻋ ﻊﺑﺎﻨﻣ روﺮ ـ
ﮔ ،ﻲ ـ ﻲـﻔﻠﺧ ﻦﺘـﺳﺎﻳﺪﻣ رد ﺮﺗاﻮ
ﺖﺳا ردﺎﻧ .
ﻪﻌﻟﺎﻄﻣ رد ﻂـﺳﻮﺗ ﻪﻛ يا
Mariano ﻧارﺎـﻜﻤﻫ و
ﺶ رد
لﺎﺳ ﻪﻠﺻﺎﻓ يﺎﻫ
1975 - 1935 دﻮﺑ هﺪﺷ مﺎﺠﻧا
، زا 1300 ﺎـﺑ رﺎـﻤﻴﺑ
ﺮﺗاﻮﮔ ﻣ ـ ﻦﺘﺳﺎﻳﺪ ، 128 ـﻤﻴﺑ ـ ـﮔ رﺎ ـ ـﺘﺳﺎﻳﺪﻣ رد ﺮﺗاﻮ ـ
ﻠﺧ ﻦ ـﻔ ﻲ
ﻨﺘﺷاد ـ ﻛ ﺪ ـ ﮕﻤﻫ ﻪ ـ ﻏ زا ﻲ ـ ـﻴﺗ هﺪ ـ ـﮔ رد ﺪﻴﺋوﺮ ـ
ـﺸﻨﻣ ندﺮ ـ
ءﺎ
ﮔ ـ
نارﺎـﻤﻴﺑ ﻲﻠـﺻا ﺖﻳﺎﻜـﺷ و ﺪﻧدﻮﺑ ﻪﺘﻓﺮ زا ﻲـﺷﺎﻧ
يور رﺎـﺸﻓ
دﻮﺑ گرﺰﺑ قوﺮﻋ و يﺮﻣ ،ﻪﺷاﺮﺗ .
رد 122 زا 128 شﺮـﺑ ﺎـﺑ رﺎـﻤﻴﺑ
ندﺮﮔ
، ﮔ ـ ﻤﻫ ﺮﺗاﻮ ءﺰﺟ هاﺮ ﻦﺘﺳﺎﻳﺪﻣ ﻪﺘـﺷادﺮﺑ ﻞـﻣﺎﻛ رﻮﻃ ﻪﺑ نآ
و دﻮﺑ هﺪﺷ 6
نﺎـﻣﺰﻤﻫ ﺲﻛارﻮـﺗ و ندﺮـﮔ شﺮـﺑ ﻪـﺑ زﺎـﻴﻧ رﺎﻤﻴﺑ
ﻪﺘﺷاد ﺪﻧا
8.
ﻀﻌﺑ رد ـ ـﻨﻣ ﻲ ـ ﻊﺑﺎ
، ـﺗ ـ ار ﻮﺋﺪـﻳو ﻚـﻤﻛ ﺎـﺑ ﻲﭘﻮﻜﺳﻮﻛارﻮ
هداد دﺎﻬﻨﺸﻴﭘ يدﺎـﻳز ﻲـﻜﻴﻨﻜﺗ تﻼﻜـﺸﻣ ﺎﺑ هاﺮﻤﻫ ﻪﺘﺒﻟا ﻪﻛ ﺪﻧا
ﺖﺳا
9.
ـﺑ رﺎـﺸﻓ هاﺮـﻤﻫ هﺪﻧوﺮﺸﻴﭘ نﺪﺷ گرﺰﺑ ﻪﺑ ﻞﻳﺎﻤﺗ ﻞﻴﻟد ﻪﺑ ﻪ
نﺎﻤﺘﺧﺎﺳ ﻪـﺑ ﻪـﺟﻮﺗ ﺎـﺑ و ﻲﻤﻴﺧﺪﺑ ﻢﻛ ﺲﻧﺎﺷ هوﻼﻌﺑ روﺎﺠﻣ يﺎﻫ
ﻪﻜﻨﻳا ﻚﻳ شﺮﺘﺴﮔ ﺎﻫﺮﺗاﻮﮔ ﺮﺘﺸﻴﺑ ﻲـﻔﻠﺧ ﻦﺘـﺳﺎﻳﺪﻣ ﻪـﺑ ﻪﻓﺮﻃ
ﻲﻣ ،ﺪﻧراد دﺮﻛ جرﺎﺧ ﻲﻧدﺮﮔ شﺮﺑ ﺎﺑ ار ﺎﻬﻧآ ناﻮﺗ
.
ﺗاﻮﮔ رد ﺎﻣا ـ
ﺘﺳﺎﻳﺪﻣ يﺎﻫﺮ ـ
ﻔﻠﺧ ﻦ ـ ﻳ گرﺰﺑ ﻪﻛ ﻲ ـ
ود ﺎ ﻪﻓﺮﻃ
و ﻟوﺰﻳا ﺎﻳ ـ ﻨﺷﺎﺑ ﻪ ـ ﺒﺗرا و ﺪ ـ ﺑ ﻲﻃﺎ ـ ـﮔ ﻪ ـ ـﺘﺷاﺪﻧ ندﺮ ـ
ﺎﺑ ﻪ ﺪﻨـﺷ
،
ـﺗ و ندﺮـﮔ شﺮﺑ ﻖﻳﺮﻃ زا ﺖﺳا ﺮﺘﻬﺑ ـ
ـﺟ ﺲﻛارﻮ ـ
مﺎـﺠﻧا ﻲﺣاﺮ
ﺷ ـ دﻮ
10.
ﻴﺘﻧ ـ ءﺰﺟ ﻪﻛ ﻲﻧارﺎﻤﻴﺑ رد ﻪﻜﻨﻳا ﻪﺠ ﻦﺘﺳﺎﻳﺪﻣ
ﺮﺗاﻮـﮔ ﻲـﻔﻠﺧ
ﻚـﻳ و ﺪـﺷﺎﺒﻧ گرﺰﺑ ﻲﻠﻴﺧ ﺖـﻬﺟ ﻲﮔدﺎـﻣآ ﺎـﺑ ،ﺪـﺷﺎﺑ ﻪـﻓﺮﻃ
ﻲﻣ ،ﻲﻣﻮﺗﻮﻛارﻮﺗ ﺣاﺮﺟ ناﻮﺗ
ـ و دﺮـﻛ عوﺮـﺷ ﻲﻧدﺮﮔ شﺮﺑ ﺎﺑ ار ﻲ
ﺤﻣ ﺮﮔا ـ ﻴﺴﻛزر ﺖﻬﺟ ﻲﺘﻳدوﺪ ـ
ﻧ زﺎﺘـﺳﻮﻤﻫ و ﻞـﻣﺎﻛ نﻮ ﻪﺘـﺷاﺪ
ﻤﻴﺑ ،ﻢﻴﺷﺎﺑ ـ
نﺎـﻣا رد ﻲﻣﻮـﺗﻮﻛارﻮﺗ ضراﻮـﻋ و ﻲﺘﻳﺪـﻴﺑرﻮﻣ زا رﺎ
دﻮﺑ ﺪﻫاﻮﺧ .
Abstract:
The Report of a Rare Case of Posterior Mediastinal Multinudular Goiter
Shapouri P. MD*
(Received: 5 July 2008 Accepted: 22 Dec 2008)
Posterior mediastinal goiters are very rare and occur mostly due to the descent of a posterior lateraly enlarging inferior pole of the thyroid gland. Most patients refer with a cervical mass and symptoms due to compression or distortion of the trachea, esophagus, or superior vena cava. The diagnosis is done by Chest. X.
Ray, cervical and thoracic computed tomography scan, and Barium esophagogram. Progrresive enlargement, risk of sudden hemorrhage within the thyroid gland causing respiratory impairment and the possibility of associated malignancy, make excision of the goiter mandatory. The routine approach to intrathoracic goiters is through cervical or cervicothoracic approach. Our patient was a 56 years old man who referred with dysphagia, dyspnea and pleatoric head and neck. Cervical and thoracic CT scan revealed a mass in the posterior mediastinum with the origin in right thyroid lobe. After routine investigation the patient was operated upon through cervical incision in which subtotal thyroidectomy with unblock resection of posterior mediastinal extension of thyroid was done.
Key Words: Goiter,Posterior Mediastinum, Cervical Incision
*Assistant Professor of General Surgery, Ghom University of Medical Sciences and Health Services, Valiasr Hospital, Ghom, Iran
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