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Fedor Krause: the first systematic use of x-rays in neurosurgery

机译:Fedor Krause:X射线在神经外科手术中的首次系统使用

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Within a few months of Wilhelm Conrad R?ntgen's discovery of x-rays in 1895, Fedor Krause acquired an x-ray apparatus and began to use it in his daily interactions with patients and for diagnosis. He was the first neurosurgeon to use x-rays methodically and systematically. In 1908 Krause published the first volume of text on neurosurgery, Chirurgie des Gehirns und Rückenmarks (Surgery of the Brain and Spinal Cord), which was translated into English in 1909. The second volume followed in 1911. This was the first published multivolume text totally devoted to neurosurgery. Although Krause excelled in and promoted neurosurgery, he believed that surgeons should excel at general surgery. Importantly, Krause was inclined to adopt technology that he believed could be helpful in surgery. His 1908 text was the first neurosurgical text to contain a specific chapter on x-rays (“Radiographie”) that showed roentgenograms of neurosurgical procedures and pathology. After the revolutionary discovery of x-rays by R?ntgen, many prominent neurosurgeons seemed pessimistic about the use of x-rays for anything more than trauma or fractures. Krause immediately seized on its use to guide and monitor ventricular drainage and especially for the diagnosis of tumors of the skull base. The x-ray images contained in Krause's “Radiographie” chapter provide a seminal view into the adoption of new technology and the development of neurosurgical technique and are part of neurosurgery's heritage.
机译:在1895年威廉·康拉德·伦琴(Wilhelm Conrad R?ntgen)发现X射线的短短几个月内,费多尔·克劳斯(Fedor Krause)购置了X射线设备,并开始将其用于与患者的日常互动和诊断中。他是第一个系统地,系统地使用X射线的神经外科医生。 1908年,克劳斯(Krause)出版了有关神经外科的第一卷文本,《脑与脊髓外科》(Cururgie des Gehirns undRückenmarks),并于1909年被翻译成英文。第二卷于1911年问世。这是第一本出版的多卷文本致力于神经外科。尽管克劳斯(Krause)在神经外科领域表现出色,并促进了神经外科的发展,但他认为,外科医生在普通外科手术方面应表现出色。重要的是,Krause倾向于采用他认为可能对手术有帮助的技术。他1908年的著作是第一本包含有关X射线的特定章节(“放射线照相术”)的神经外科著作,该章节显示了神经外科程序和病理学的放射线照片。在伦琴(R?ntgen)革命性地发现X射线之后,许多杰出的神经外科医师对将X射线用于除创伤或骨折以外的其他事物似乎感到悲观。克劳斯(Krause)立即利用它来指导和监测心室引流,尤其是用于颅底肿瘤的诊断。 Krause的“放射线照相术”一章中包含的X射线图像为新技术的采用和神经外科技术的发展提供了开创性的观点,并且是神经外科传统的一部分。

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