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[对肺结核病史的一点贡献]

[A small contribution to the history of pulmonary tuberculosis].

作者信息

Birath G

出版信息

Nord Medicinhist Arsb. 1995:47-61.

Abstract

The distribution of tuberculosis cannot be described correctly until after the discovery of the tubercle bacillus but typical skeletal tuberculosis has been found and lung diseases with symptoms as consumption (phtisis) have been described long before our calendar from almost all continents. - In our country it has probably existed a long time but became a widespread disease with increasing mortality the last 2 - 300 years with a maximum mortality during the second half of the last century. Attempts to cure the disease with many different sorts of treatment, herbs, woman's milk. living in a cow-house etc., were predominent. also staying in different health bringing milieus occurred, partly reminding of later practised sanatorium treatment. After half a century's attempts in Sweden to cure tuberculosis with sanatorium treatment and collaps therapy, definite possibilities to cure the disease radically came with chemotherapy after 1945-1950. Where this therapy is available, e.g. from economic point of view, the cure is successful to practically a 100%, if not bacterial resistance or deficient immunity prevent the effect.

摘要

直到结核杆菌被发现后,结核病的分布情况才得以正确描述,但典型的骨结核在此之前就已被发现,并且早在公元纪年之前,几乎所有大陆都已描述过具有痨病(肺结核)症状的肺部疾病。——在我国,结核病可能早已存在,但在过去2至300年间,它成为一种广泛传播的疾病,死亡率不断上升,在上个世纪下半叶达到最高。人们尝试用多种不同的治疗方法来治愈这种疾病,如草药、母乳、住在牛舍等,同时也出现了前往不同有益健康的环境疗养的情况,部分类似后来实行的疗养院治疗。在瑞典经过半个世纪用疗养院治疗和萎陷疗法治疗结核病的尝试后,1945年至1950年之后随着化疗的出现,才出现了从根本上治愈这种疾病的明确可能性。在有这种疗法的地方,例如从经济角度来看,如果没有细菌耐药性或免疫力缺陷阻碍疗效,治愈率实际上可达100%。

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