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[The surgical case reports of Hippocrates of Cos. Medical Practice in Ancient Greece]. 希波克拉底的外科病例报告。[古希腊的医学实践]。
Pub Date : 2024-12-01 DOI: 10.1007/s15006-024-4368-3
Werner A Golder, Waltraud Golder

Objective: Which theoretical and practical competences do the surgical case histories of the Hippocratic Corpus convey?

Method: The 431 Hippocratic case histories have been studied for reports and communication on diagnosis, therapy and prognosis of single persons and groups of patients suffering from surgical diseases.

Results: Within the 7 books of the Hippocratic "Epidemics", a total of 18 patients with general and visceral surgical diseases are described. The main signs of the disorders were fever, pain, looseness, constipation, colic, swelling and bleeding, the most common affections abscesses, ruptures, ulcers and necroses. In addition, breast cancer can be reliably identified. Seven men are facing six women. Moreover, four children and one group are described. The patients' information about the course of their disease is sparse. Diagnostics were limited to inspection and palpation. In many cases, the treating physician confined to conservative measures. Among the surgical interventions incision, cauterization and bloodletting dominated. 11 of 18 patients succumbed to their diseases.

Conclusions: The Hippocratic doctor diagnosed and treated a limited number of general and visceral surgical diseases. The symptoms of inflammation and traumatic lesions are narrated in detail. The observer describes the bloody secretion in two women with breast cancer as briefly as impressively. In two thirds of the cases, neither conservative measures alone nor in combination with invasive treatment led to enduring success. Complete recovery is reported of only three persons. The unfavourable balance of treatment for the involved physicians is an important reason for the confidence of scientists in the credibility of the Hippocratic case histories.

目的:希波克拉底语料库的外科病例史传达了哪些理论和实践能力?方法:对431例希波克拉底病例进行研究,对外科疾病的个人和群体的诊断、治疗和预后进行报告和交流。结果:在希波克拉底“流行病”的7本书中,共描述了18例一般和内脏外科疾病患者。这些疾病的主要症状是发热、疼痛、松弛、便秘、绞痛、肿胀和出血,最常见的症状是脓肿、破裂、溃疡和坏死。此外,乳腺癌可以可靠地识别。七个男人面对六个女人。此外,还描述了四个孩子和一个群体。病人对病情的了解很少。诊断仅限于检查和触诊。在许多情况下,治疗医生只能采取保守措施。手术方式以切口、烧灼和放血为主。18名患者中有11人死于疾病。结论:希波克拉底医生诊断和治疗有限数量的一般和内脏外科疾病。详细叙述了炎症和创伤性病变的症状。观察者简短而深刻地描述了两名乳腺癌妇女的血分泌物。在三分之二的病例中,无论是单独的保守措施还是与侵入性治疗相结合都不能取得持久的成功。据报只有三人完全康复。对参与治疗的医生不利的平衡是科学家对希波克拉底病历的可信度充满信心的一个重要原因。
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引用次数: 0
Physiotherapie: Ab sofort sind Blankorezepte möglich. 物理治疗:空白处方现在是可能的。
Pub Date : 2024-12-01 DOI: 10.1007/s15006-024-4246-z
Marc Metzmacher
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引用次数: 0
Was bei Knieschmerzen wirklich hilft. 这对治疗膝盖疼痛很有帮助。
Pub Date : 2024-12-01 DOI: 10.1007/s15006-024-4251-2
Rüdiger von Eisenhart-Rothe
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Tirzepatid punktet bei Herzinsuffizienz. 心脏骤停。
Pub Date : 2024-12-01 DOI: 10.1007/s15006-024-4535-6
Peter Overbeck
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引用次数: 0
Attacke aus dem Pflanzenreich. 来自植物王国的攻击。
Pub Date : 2024-12-01 DOI: 10.1007/s15006-024-4250-3
Christoph Raschka, Horst J Koch
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Mit weiterentwickelten Vakzinen gegen Influenza. “新流感疫苗”。
Pub Date : 2024-12-01 DOI: 10.1007/s15006-024-4527-6
Romy König
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Regelmäßiger Check-up bei Privatpatienten schon ab 18 Jahren. 从18岁起定期检查私人病人。
Pub Date : 2024-12-01 DOI: 10.1007/s15006-024-4559-y
Helmut Walbert
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Pub Date : 2024-12-01 DOI: 10.1007/s15006-024-4534-7
Doris Maugg
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Pub Date : 2024-12-01 DOI: 10.1007/s15006-024-4555-2
Robert Bublak
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Pub Date : 2024-12-01 DOI: 10.1007/s15006-024-4532-9
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引用次数: 0
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MMW - Fortschritte der Medizin
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