Worboys Michael
Centre for the History of Science, Technology and Medicine and Wellcome Unit for the History of Medicine, University of Manchester, Manchester M13 9PL, UK.
Notes Rec R Soc Lond. 2013 Sep 20;67(3):199-209. doi: 10.1098/rsnr.2013.0028.
This article highlights a neglected feature of Joseph Lister's work, namely how, in addition to promoting germ theories and the principles of the antiseptic system, he also devoted much time and effort to communicating the performative aspects of antisepsis and of the many other surgical innovations that he developed. Attention to 'detail' and striving for 'improvement' were crucial to Listerian practice, and he sought to convey his credo in three main ways: first, his publications aimed at 'bringing the subject out in the same sort of way as it had been worked out by himself'; second, he set out strict protocols and information on materials and methods, yet also encouraged surgeons to improvise; and third, he made himself an exemplar of a new form of professionalism, which made constancy and vigilance in practice a moral duty for surgeons.
本文突出了约瑟夫·李斯特工作中一个被忽视的特点,即他除了推广细菌理论和防腐体系的原则外,还投入了大量时间和精力来传播防腐以及他所开发的许多其他外科创新的实践方面。注重“细节”和追求“改进”对李斯特式的实践至关重要,他试图通过三种主要方式传达他的信条:第一,他的出版物旨在“以与他自己研究该主题相同的方式来阐述该主题”;第二,他制定了关于材料和方法的严格规程和信息,但也鼓励外科医生即兴发挥;第三,他使自己成为一种新的专业精神的典范,这种专业精神使外科医生在实践中保持恒常和警惕成为一种道德责任。