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[产科学——历史这部机器中的一个齿轮]

[Obstetrics--a gear in the machinery of history].

作者信息

Schaller A

机构信息

Abteilung für Pränatale Diagnostik und Therapie, Universitätsklinik für Frauenheilkunde Wien, Osterreich.

出版信息

Gynakol Geburtshilfliche Rundsch. 1998;38(1):25-39. doi: 10.1159/000022223.

Abstract

It was not Julius Caesar who was born by Caesarean section, as generally assumed, but Scipio Cornelius Africanus, who subdued Spain 100 years before Caesar's time. In chambers with walls of porphyrite, the Byzantine empresses used to give birth to the heirs to the throne. In England, the infertility of Queen Anne, who suffered from porphyria, led to the succession of the Protestant House of Hannover following the Catholic Stuarts. Christina of Sweden, called 'queen of baroque, rebel and scholar', was born in the 'caul'. At the age of 39 years, Johanna of Pfirt, married to Albrecht the Lame, secured the continuation of the Habsburg dynasty by giving birth to Rudolf the Founder. Maria Theresia, who had 16 children, was called 'mother-in-law of Europe'. She was delivered of her first child at the age of 19. The death of her sister Maria-Anna in childbed was one of the reasons why Gerard van Swieten was called to Vienna. Elisabeth of Württemberg, first wife of Franz I of Austria, died, not as a consequence of. but after a forceps operation carried out by Johann Lukas Boër. In England, Princess Charlotte, daughter of George IV, and her baby son died at the delivery; Sir Richard Croft, who had not used the forceps, committed suicide after this tragic incident. Being the next in succession, Victoria ascended the throne. The term 'narcose au chloroforme' (first used by James Young Simpson) was changed to 'narcose à la reine' after this method had been used at the birth of Victoria's eighth child by John Snow. It was Queen Victoria, who passed on haemophilia in European dynasties. When Marie Louise of Habsburg had her first child, Napoleon's son, the later Duke of Reichstadt, Antoine Dubois had to perform a turning of the transverse presentation and use the forceps on the head following after. The birth of Napoleon himself was a case of precipitate labour. Johann Klein, the successor of Boër, applied the forceps when Archduchess Sophie was delivered of her first child, the later Emperor Franz Joseph I of Austria, the first of the four 'salt princes'. The later Emperor Wilhelm II of Prussia was delivered by Eduard Arnold Martin the Elder, the obstetrician of Princess Victoria, the eldest daughter of Queen Victoria; the breech presentation became even more complicated by the raised arms of the child. Both latter monarchs had been 'asphyctic' after their birth. Johann Wolfgang von Goethe was also among those who were apparently dead after their birth.

摘要

并非如人们普遍认为的那样,是尤利乌斯·恺撒通过剖腹产出生,而是西庇阿·科尼利厄斯·阿非利加努斯,他在恺撒时代的100年前征服了西班牙。在有着斑岩墙壁的房间里,拜占庭皇后们曾产下皇位继承人。在英国,患有卟啉症的安妮女王不孕,导致天主教的斯图亚特王朝之后由新教的汉诺威家族继承王位。瑞典的克里斯蒂娜,被称为“巴洛克女王、叛逆者和学者”,出生时带有胎膜。39岁的菲尔茨的约翰娜嫁给了跛子阿尔布雷希特,生下了王朝奠基者鲁道夫,从而确保了哈布斯堡王朝的延续。玛丽亚·特蕾西亚育有16个子女,被称为“欧洲的岳母”。她19岁时生下第一个孩子。她的妹妹玛丽亚·安娜在分娩时去世是杰勒德·范·斯维滕被召至维也纳的原因之一。奥地利的弗朗茨一世的第一任妻子符腾堡的伊丽莎白去世,并非因为,而是在约翰·卢卡斯·布尔实施产钳手术后去世。在英国,乔治四世的女儿夏洛特公主和她的婴儿儿子在分娩时死亡;没有使用产钳的理查德·克罗夫特爵士在这一悲剧事件后自杀。作为王位的下一顺位继承人,维多利亚登上了王位。在约翰·斯诺用这种方法为维多利亚的第八个孩子接生后,“氯仿麻醉”(由詹姆斯·扬·辛普森首次使用)一词被改为“女王麻醉法”。是维多利亚女王在欧洲各王朝传播了血友病。当哈布斯堡的玛丽·路易丝生下她的第一个孩子,即拿破仑的儿子、后来的赖希施塔特公爵时,安托万·迪布瓦不得不将横位转为头位并随后使用产钳。拿破仑本人的出生是急产的一个例子。布尔的继任者约翰·克莱因在索菲女大公生下她的第一个孩子、后来的奥地利皇帝弗朗茨·约瑟夫一世(四位“盐之王子”中的第一位)时使用了产钳。后来的普鲁士皇帝威廉二世由维多利亚女王的长女维多利亚公主的产科医生老爱德华·阿诺德·马丁接生;臀位因婴儿举起的双臂而变得更加复杂。后两位君主出生后都曾“窒息”。约翰·沃尔夫冈·冯·歌德显然也在出生后一度看似死亡。

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