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[19世纪斯雷姆县联体双胞胎分娩的首次记录]

[The first record of the delivery of conjoined twins in the Srem county in the 19th century].

作者信息

Maksimović Jovan, Maksimović Marko

机构信息

Naučno društvo za istoriju zdravstvene kulture Vojvodine, Medicinski fakultet Univerziteta u Novom Sadu.

出版信息

Acta Med Hist Adriat. 2016 Dec;14(2):211-228.

PMID:28038484
Abstract

In this paper is presented the first original document of the delivery of conjoined twins on the territory of the present-day Vojvodina. The document number 1224 consists of two handwritten quires. On the first page of the first quire are a description and a drawing of the delivered twins. The delivery was described and drawn by Dr. Ernest Furjaković, a shire physician in Ruma and the secondary physicus of the Srem County, who attended and handled the delivery. The conjoined twins were delivered in the night between 2 and 3 April 1852 in Mali Radinci, a small village in the Srem County nearby Ruma, in the far south of the Habsburg Monarchy. The twins, preserved in alcohol, were sent to Budapest to the professor of anatomy "for the purposes of medical science", as he wrote in the report. The second quire of the same document refers to the proof that the Commissariat in Ruma forwarded the doctor's report to the High Land Government in Timisoara. In the introduction, the authors displayed the known facts on the occurrence of conjoined twins in the world, which were used to compare with the described case. The data refer to the incidence of conjoined twins in the population, theory of its embryonic origin, their classification, treatment in cases of diagnosed pregnancy and the manner of their delivery. They also refer to the procedures of modern diagnostics, the possibilities of their surgical disjoin and related ethical questions. After that comes a part of the work dedicated to the analysis of the shown document, and the comparison of the several cases of the most significant conjoined twins in the world with these from Srem, as the authors named them. The authors showed short biography of the physician who delivered them, as well. At the end, they conclude that this work gives the first description of document of the delivery of the first known conjoined twins on the territory of the present-day Vojvodina.

摘要

本文展示了现今伏伊伏丁那地区连体双胞胎分娩的第一份原始文件。文件编号1224由两本手写的对折纸张组成。在第一本对折纸张的第一页上,有对分娩双胞胎的描述和一幅图。该分娩过程由鲁马的郡医、斯雷姆县的二级医师欧内斯特·富尔贾科维奇博士进行了描述和绘图,他参与并处理了此次分娩。这对连体双胞胎于1852年4月2日至3日夜间在斯雷姆县靠近鲁马的一个小村庄马里拉丁奇出生,位于哈布斯堡王朝的最南端。这对保存在酒精中的双胞胎被送往布达佩斯给解剖学教授,“用于医学研究目的”,他在报告中写道。同一文件的第二本对折纸张涉及鲁马的地方政府将医生报告转发给蒂米什瓦拉高地政府的证明。在引言中,作者展示了世界上连体双胞胎出现的已知事实,用于与所描述的案例进行比较。这些数据涉及连体双胞胎在人群中的发病率、其胚胎起源理论、分类、诊断出怀孕时的治疗方法以及分娩方式。它们还涉及现代诊断程序、手术分离的可能性以及相关的伦理问题。之后是作品的一部分,致力于对所展示文件的分析,以及将世界上几例最重要的连体双胞胎案例与作者所称的来自斯雷姆的案例进行比较。作者还展示了接生医生的简短生平。最后,他们得出结论,这项工作首次描述了现今伏伊伏丁那地区已知的第一对连体双胞胎分娩的文件。

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Acta Med Hist Adriat. 2016 Dec;14(2):211-228.
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