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公元1795年以来一名水手的诊断历程。

Odyssey of a sailor's diagnosis since 1795 AD.

作者信息

Shetty M R

机构信息

Northwest Community Hospital, Arlington Heights, Illinois 60005.

出版信息

J Surg Oncol. 1988 Jun;38(2):140-1. doi: 10.1002/jso.2930380218.

Abstract

In the year 1795, a British East Indiaman bound for China had a sick sailor on board who was diagnosed as having testis cancer by the ship's surgeon, who then treated him with an antiscorbutic diet, because scurvy was rampant among the sailors. He was completely cured of his cancer, as reported in the Edinburgh Medical and Surgical Journal by Livingstone in 1805. However, the sailor actually had scurvy and not testis cancer. This diagnostic error has been perpetuated in the medical literature until rectified by Shetty after 191 years. This is reconstructed account of the sailor's case history and the ship's journey as it actually took place in 1795 AD.

摘要

1795年,一艘驶往中国的英国东印度商船搭载了一名患病水手,船上外科医生诊断其患有睾丸癌,随后用抗坏血病饮食对他进行治疗,因为当时坏血病在水手中肆虐。据利文斯通1805年在《爱丁堡医学与外科学杂志》上报道,他的癌症完全治愈了。然而,这名水手实际上患的是坏血病而非睾丸癌。这个诊断错误在医学文献中一直存在,直到191年后被谢蒂纠正。这是对该水手病例历史以及1795年实际发生的船只航行情况的重建描述。

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