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[欧洲学术临床神经学的发展;一个成功的理念及其影响]

[Development of academic clinical neurology in Europe; a successful concept and its consequences].

作者信息

Schmidbauer M

机构信息

Neurologischen Abteilung des Krankenhauses der Stadt Wien-Lainz.

出版信息

Wien Med Wochenschr. 2000;150(13-14):274-7.

Abstract

Clinical medicine in the 18th century is devoted to Hippocratic tradition. Pathology is not a requisite in this concept. The viewpoint of the pathologists is obscured by traditional philosophy and hampered by insufficient methods. In the 19th century, concepts of correlation between clinical signs and local organ pathology occur. The catastrophic increase of traumatic injury of the nervous system during world war I results in better concepts of clinical localization. At the beginning of the 21st century, the traditional view of the neurological science has changed the image of the patient profoundly, by the emergence of new diseases, disappearance of others and an altered view of the traditional neurologist.

摘要

18世纪的临床医学遵循希波克拉底传统。在这一概念中,病理学并非必要条件。病理学家的观点被传统哲学所遮蔽,且因方法不足而受到阻碍。19世纪,出现了临床体征与局部器官病理学之间的关联概念。第一次世界大战期间神经系统创伤性损伤的灾难性增加导致了更好的临床定位概念。在21世纪初,神经科学的传统观点因新疾病的出现、其他疾病的消失以及对传统神经科医生看法的改变而深刻地改变了患者的形象。

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