Section snippets

Two late 18th century manuscripts

Both of the manuscripts we feature here were written by students hearing the lectures of famous authors, but whose advice on thoracentesis is previously unknown. They are fascinating not only for expanding our understanding of these two important figures but because they provide precise descriptions of the site and technique of thoracic drainage just before auscultation, which would provide the means for locating the pathological change. Student lecture notes could have served as a sort of

Discussion

This Spotlight suggests that until the 18th century, doctors carried out thoracentesis largely in accordance with Hippocrates' recommendations to make the incision low in the chest. The question arose as to whether the approach should be anterior or posterior. We can see that at least two reputed doctors with considerable anatomical knowledge, Astruc and Bichat, raised the question of the drainage technique, with particular reference to the surgical approach. Astruc went further in describing

中文翻译：

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胸腔穿刺术：一个古老的故事和一些新的来源

 部分片段

两份 18 世纪晚期的手稿

我们在这里展示的两份手稿都是由听著名作家讲座的学生写的，但他们对胸腔穿刺术的建议以前不为人知。它们之所以引人入胜，不仅在于扩大了我们对这两个重要人物的理解，还因为它们提供了听诊前胸腔引流部位和技术的精确描述，这将为定位病理变化提供手段。学生讲义可以作为一种

 讨论

这个 Spotlight 表明，直到 18 世纪，医生在很大程度上按照希波克拉底的建议进行胸腔穿刺术，使切口位于胸部较低处。问题出现了，入路应该是前路还是后路。我们可以看到，至少有两位具有相当解剖学知识的著名医生 Astruc 和 Bichat 提出了引流技术的问题，特别是关于手术方法的问题。Astruc 进一步描述