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环境医学原理:贝多芬铅中毒的教育案例研究

Principles of environmental medicine: an educational case study of lead poisoning in Beethoven.

作者信息

Erren Thomas C, Glenewinkel Florian, Pinger Andreas, Lewis Philip

机构信息

Institute and Policlinic for Occupational Medicine, Environmental Medicine and Prevention Research, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Cologne, Germany.

出版信息

Front Public Health. 2025 Jul 9;13:1578949. doi: 10.3389/fpubh.2025.1578949. eCollection 2025.

Abstract

BACKGROUND

Understanding the nature and consequences of widespread lead poisoning is critical to protecting people from harm.

EDUCATIONAL CASE STUDY

We review the historical example of hypothesized lead poisoning in the famous composer Beethoven as an educational vector to illustrate principles of environmental medicine. We discuss what would happen if a hypothetical present-day Mr. B with comparable health complaints, clinical symptoms, or test results were to visit a doctor today. Human biomonitoring - with population reference values and health-based guidance values - is discussed as an important diagnostic tool.

CONCLUSION

This practical outlook on lead poisoning for readers with non-environmental medicine backgrounds contributes to an understanding of principles of environmental medicine.

摘要

背景

了解广泛存在的铅中毒的性质和后果对于保护人们免受伤害至关重要。

教育案例研究

我们回顾了著名作曲家贝多芬疑似铅中毒的历史案例,以此作为一个教育载体来说明环境医学的原理。我们讨论了如果现在有一位具有类似健康问题、临床症状或检测结果的假设的B先生今天去看医生会发生什么。文中讨论了将人体生物监测以及人群参考值和基于健康的指导值作为一种重要的诊断工具。

结论

这种面向非环境医学背景读者的铅中毒实用观点有助于理解环境医学原理。

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本文引用的文献

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