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哈维·库欣:“从蜡烛到电视”

Harvey Cushing: "From tallow dip to television".

作者信息

Stanton M E, Thomson E H

出版信息

Surgery. 1977 Mar;81(3):284-94.

PMID:320698
Abstract

Harvey Cushing was not only a leading founder of neurosurgery, but his work in general surgery provoked research which advanced medical knowledge, and he made substantial contributions to medical education and general literature. He discovered (with L.E. Livinggood) that the stomach and small intestine could be rendered sterile by fasting before operations; he successfully sutured the cervical thoracic duct without subsequent leakage; he suggested, after attempted repair of chronic valvular lesions in the dog, the possibility of surgery on cardiac valves in man; he demonstrated the relation of intracranial pressure to blood pressure; he devised one of the first charts for recording pulse and respiration and introduced routine blood pressure determinations during operation; and he stimulated continuing research by internists and endocrinologists through his work on the pituitary body and its disorders-work which was crowned by his discovery of pituitary basophilism. His unique course in operative surgery for medical students at the Johns Hopkins was adopted by other medical schools and he advanced other provocative theories concerning the organization and content of the medical curriculum. He provided elective clinics at Harvard Medical School for students and established postgraduate fellowships at the Hopkins, Harvard, and Yale schools of medicine. Cushing brought distinction upon himself and the medical profession through his books and essays of high literary quality and originality, most notably his biography of Sir William Osler, which was awarded a Pulitzer Prize in 1926.

摘要

哈维·库欣不仅是神经外科的主要奠基人,他在普通外科领域的工作也激发了推动医学知识进步的研究,并且他为医学教育和通俗文学做出了重大贡献。他(与L.E. 利文古德一起)发现,手术前禁食可使胃和小肠无菌;他成功缝合颈胸段胸导管且无后续渗漏;在尝试修复狗的慢性瓣膜病变后,他提出了对人类心脏瓣膜进行手术的可能性;他证明了颅内压与血压的关系;他设计了最早的记录脉搏和呼吸的图表之一,并在手术期间引入了常规血压测定;他对垂体及其疾病的研究激发了内科医生和内分泌学家的持续研究,这项研究最终以他发现垂体嗜碱性细胞增多症而圆满结束。他在约翰·霍普金斯大学为医学生开设的独特手术课程被其他医学院采用,并且他还提出了其他有关医学课程组织和内容的具有启发性的理论。他在哈佛医学院为学生提供选修诊所,并在约翰·霍普金斯大学、哈佛医学院和耶鲁医学院设立了研究生奖学金。库欣凭借其高质量且具有原创性的书籍和文章,尤其是他所著的威廉·奥斯勒爵士传记(该传记于1926年获得普利策奖),为自己和医学专业赢得了声誉。

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