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18世纪的医学探索。纪念伊格纳兹·冯·博恩诞辰250周年(1742 - 1791)

[Mining medicine in the 18th century. On the 250th anniversary of the birthday of Ignaz von Born (1742-1791)].

作者信息

Völker A

出版信息

Z Gesamte Inn Med. 1992 Dec;47(12):583-90.

PMID:1285465
Abstract

Ignaz von Born (1742-1791) improved several technical and methodical approaches to mining and was thus instrumental in creating the prerequisites for reducing certain professional miner's diseases. Among these diseases, lead or saturnine poisoning (colica saturnina) caused by lead monoxide PbO, also known as litharge, was much dreaded (a 17th-century physician from Goslar wrote a treatise on "Lithargyrii fumo noxio morbifico, vulgo dicto 'pit cat'"); a miner's disease associated with phthisis and pareses of a then unknown etiology; and in some cases even with hookworm disease that was much later recognised as yet another professional disease of miners. During this era a new professional image of a mining engineering physician developed, with several of these doctors trying to go beyond merely curative measures: they aimed at achieving meaningful prevention that involved standard measures and behavioural patterns on the one hand and improvements in the professional mining procedure on the other.

摘要

伊格纳兹·冯·博恩(1742 - 1791)改进了采矿的多项技术和方法,从而为减少某些职业矿工疾病创造了前提条件。在这些疾病中,由一氧化铅PbO(也称为密陀僧)引起的铅中毒或铅毒病(铅绞痛)令人十分恐惧(一位来自戈斯拉尔的17世纪医生写了一篇关于“密陀僧有害烟雾致病,俗称‘pit cat’”的论文);一种与肺结核和当时病因不明的麻痹相关的矿工疾病;在某些情况下甚至与钩虫病有关,而钩虫病在很久之后才被确认为矿工的另一种职业疾病。在这个时代,采矿工程医生的新职业形象逐渐形成,其中一些医生试图超越单纯的治疗措施:他们旨在实现有意义的预防,一方面包括标准措施和行为模式,另一方面包括改进专业采矿程序。

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