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理查德·布莱特关于炎症所致神经系统疾病的观察

Richard Bright's observations on diseases of the nervous system due to inflammation.

作者信息

Schutta Henry S

机构信息

a Loyola School of Medicine , Maywood , Illinois , USA.

出版信息

J Hist Neurosci. 2018 Apr-Jun;27(2):165-185. doi: 10.1080/0964704X.2017.1382804. Epub 2017 Dec 13.

Abstract

This study examines case reports of brain diseases attributed to inflammation in Richard Bright's Reports of Medical Cases, Volume II. The rationale for the belief that these cases were due to inflammation is discussed in light of theories of inflammation that were current in Bright's time. The consequences of these theories for the therapy of brain diseases are evaluated. The value of Bright's reports lies in the accuracy of the descriptions of a number of brain diseases, featuring descriptions of symptoms or conditions that were novel or not well known in the early nineteenth century. They provided a conception of diseases that constituted "typical condition of many patients," rather than "disorderly condition of a particular patient." Many cases are illustrated by remarkable images of pathological specimens.

摘要

本研究考察了理查德·布莱特所著《医学病例报告》第二卷中归因于炎症的脑部疾病病例报告。结合布莱特所处时代流行的炎症理论,探讨了认为这些病例由炎症引起的依据。评估了这些理论对脑部疾病治疗的影响。布莱特报告的价值在于对多种脑部疾病描述的准确性,其特点是对19世纪早期新颖或鲜为人知的症状或病症进行了描述。它们提供了一种疾病概念,这种概念构成了“许多患者的典型病症”,而非“特定患者的紊乱病症”。许多病例配有病理标本的精彩图像。

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