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关于珀斯的亨德森医生处理难产病例的思考:一例早期(1820年)实施剖宫产手术的病例。

Reflections on Dr Henderson of Perth's case of impracticable labour: an early case (1820) in which the caesarean operation was performed.

作者信息

Kaufman M H

机构信息

Department of Anatomy, University of Edinburgh Medical School.

出版信息

Scott Med J. 1993 Jun;38(3):85-8. doi: 10.1177/003693309303800311.

DOI:10.1177/003693309303800311
PMID:8356433
Abstract

The rediscovery of a female pelvis with features characteristic of osteomalacia stimulated an enquiry into the clinical history of the woman involved. It was established that she died in 1820, aged 30. Despite being severely debilitated and confined to bed for some years with increasing skeletal deformities, she became pregnant, and in due course laboured unsuccessfully for about 102 hours. An elective caesarean section was performed, but she died some hours later, though her daughter survived and was appropriately christened Caesar Anna. This represents one of the earliest cases in which the caesarean operation was performed where the full obstetric history was carefully recorded by the obstetrician involved, Dr. Henderson of Perth. The case was clearly considered important, and in 1836 engravings of this pelvis were used to illustrate Professor Hamilton's "Practical Observations of Various Subjects Related to Midwifery". Such cases are now of great rarity in the developed world.

摘要

一具具有骨软化症特征的女性骨盆的重新发现,引发了对该女性临床病史的调查。经证实,她于1820年去世,享年30岁。尽管她因骨骼畸形日益严重而极度虚弱并卧床多年,但她还是怀孕了,并在适当的时候经历了约102小时的分娩,但未成功。随后进行了选择性剖宫产,但她在数小时后死亡,不过她的女儿存活了下来,并被适当地命名为凯撒·安娜。这是有完整产科病史被涉事产科医生——珀斯的亨德森医生仔细记录下来的最早进行剖宫产手术的病例之一。该病例显然被认为很重要,1836年,这个骨盆的雕刻图被用于为汉密尔顿教授的《与助产学相关的各种主题的实践观察》作插图。这类病例在发达国家如今极为罕见。

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