Retired physician and independent scholar.
J Hist Med Allied Sci. 2020 Oct 1;75(4):383-407. doi: 10.1093/jhmas/jraa039.
This article seeks to establish what animal experiments Semmelweis conducted, and when and why he conducted them, because the Semmelweis literature contains conflicting claims about these topics or has ignored them altogether. Semmelweis first conducted animal experiments between 22 March and 20 August 1849 with Rokitansky's assistant, Georg Maria Lautner, because his chief, Johann Klein, did not accept that by merely reducing the mortality rate from childbed fever with chlorine hand-disinfection, Semmelweis had proved his theory of the cause of childbed fever. However, Skoda concluded that the Lautner experiments did not resolve the doubts about Semmelweis's theory they were intended to resolve, and, therefore, asked the Academy of Sciences to award Semmelweis a grant to conduct further and more varied experiments with the physiologist, Ernst Ritter von Brücke. These additional experiments were conducted in the spring and summer of 1850, but yielded only ambiguous results, and led Brücke to conclude that questions about Semmelweis's theory could only be resolved by clinical observations, not animal experiments. This article discusses the reasoning behind these animal experiments, and Skoda's and Brücke's responses to them, and argues that their responses to the experiments caused Semmelweis to delay publishing his research until he had collected sufficient clinical evidence to prove his theory.
本文旨在确定塞麦尔维斯进行了哪些动物实验,以及他在何时、为何进行这些实验,因为塞麦尔维斯的文献中对这些主题存在相互矛盾的说法,或者完全忽略了这些主题。塞麦尔维斯最初于 1849 年 3 月 22 日至 8 月 20 日与罗基坦斯基的助手格奥尔格·玛丽亚·劳特纳进行了动物实验,因为他的上司约翰内·克莱因不接受仅仅通过用氯洗手消毒降低产褥热死亡率,塞麦尔维斯就证明了他的产褥热病因理论。然而,斯科达得出结论,劳特纳实验并没有解决他们旨在解决的对塞麦尔维斯理论的疑虑,因此请求科学院授予塞麦尔维斯一笔赠款,以便与生理学家恩斯特·里特·冯·布鲁克进一步开展更多样化的实验。这些额外的实验是在 1850 年春季和夏季进行的,但只得出了模棱两可的结果,并导致布鲁克得出结论,关于塞麦尔维斯理论的问题只能通过临床观察来解决,而不是动物实验。本文讨论了这些动物实验的推理,以及斯科达和布鲁克对此的回应,并认为他们对实验的回应导致塞麦尔维斯推迟发表他的研究结果,直到他收集到足够的临床证据来证明他的理论。