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[塞麦尔维斯推理与产褥热]

[The Semmelweis reasoning and the puerperal fever].

作者信息

Sabbatani Sergio

机构信息

Unità Operativa di Malattie Infettive Policlinico S Orsola-Malpighi, Bologna, Italy.

出版信息

Infez Med. 2008 Mar;16(1):47-58.

Abstract

Ignaz Philipp Semmelweis is probably one of the most important personalities of the history of medicine in nineteenth century before the microbiological Pasteur's revolution. Young doctor, troubled by the numerous deaths occurring at the obstetrician department in Wien, were he had been temporarily employed, despite the unavailability of laboratory instruments, he could get, by means of empirical observation and deductive reasoning, what all the other contemporary scientists had not been able to perceive: the responsibility of puerperae's mortality was to ascribe to genital contamination that occurred through the hands of doctors visiting them after having performed autopsies. Semmelweis is a romantic figure, who also paid for his political and cultural engagement in Wien in 1848 with social isolation. His uneasy temperament, and some difficulties in the relationship with his colleagues, didn't promote his ideas to be accepted and spread. Few years following his death, prematurely occurred in unclear circumstances, thanks to Pasteur's discoveries, his battle was eventually recognized.

摘要

伊格纳兹·菲利普·塞麦尔维斯大概是19世纪微生物学领域巴斯德革命之前医学史上最重要的人物之一。这位年轻医生曾临时受雇于维也纳的产科部门,那里产妇大量死亡的情况令他深感困扰。尽管缺乏实验室仪器,但他凭借经验观察和演绎推理,得出了当时所有其他科学家都未能察觉到的结论:产妇死亡的责任应归咎于医生在解剖尸体后,通过双手将病菌传染给产妇,从而导致生殖系统感染。塞麦尔维斯是个浪漫的人物,他在1848年因在维也纳的政治和文化活动而遭受社会孤立。他急躁的性格以及与同事关系中的一些问题,使得他的观点难以被接受和传播。在他于不明情况下过早离世后的几年里,多亏了巴斯德的发现,他的斗争最终得到了认可。

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