Hospital Reports

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Abstract

being a general opinion, the very reverse appears to be universally implied, and to be accepted by writers as a fact of which there is no doubt. Mr. Lawrence expressly acknowledges it. He says:"Now we do occasionally find that the two diseases exist together; but this is comparatively rare." (Lancet, of March 13th, 1830, p. 810.) In the reports of the Lock Hospital, as reported in the Lancet, of October 25th, 1834, p. 189, will be found cases of syphilis and gonorrhoea coexistent in the same patient. Dr. Fenwick gives, in the Medical Gazette, a report of 943 cases. Of these, 252 were cases of simple gonorrhoea; in 170, sores existed with gonorrhoea; and in 521, sores existed alone. It has occurred to me, in looking over this paper, that the questioni of the noncoexistence of these two diseases appears never to have entered his mind. He addresses himself not to that question, but to the advantage of giving mercury when such a combination exists. The only other authority I will draw attention to is Rayer, who, when treating on syphilitic diseases of the skin, speaks of what he calls the simple venereal ulcer, the vemerola vulgaris of Evans, and the common chancre of several French pathologists. He says they are " the most common of all forms of venereal ulcer ;" "they are frequently acconipanied with blenorrhoea of the glans, with urethral gonorrhoea, and with phimosis;" and " that he has observed every variety of venereal eruption and venereal growth as consequences of these sores." But may I not appeal to the experience of every man who has had even limited opportunities of judging whether he has not repeatedly met with gonorrhoea complicated with sores, whiclh in otlher cases he should have said immediately were syphilitic, and treated as such.
医院报告
作为一个普遍的意见,相反的情况似乎是普遍隐含的,并被作家们接受为一个毫无疑问的事实。劳伦斯先生明确承认了这一点。他说:“现在我们确实偶尔发现这两种疾病同时存在;但这种情况相对罕见。”(《柳叶刀》,1830年3月13日,第810页)在洛克医院的报告中,如1834年10月25日《柳叶刀》第189页所报道的,在同一病人身上发现了梅毒和淋病并存的病例。芬威克博士在《医学公报》上发表了一份943例病例的报告。其中,252例为单纯性淋病;170年,溃疡伴有淋病;在521年,溃疡是单独存在的。在我浏览这篇论文时,我突然想到,这两种疾病不能共存的问题似乎从未进入他的脑海。他并没有回答这个问题,而是谈到了在这种组合存在的情况下给予汞的好处。我要提请注意的另一个权威是Rayer,他在治疗皮肤的梅毒疾病时,谈到了他所谓的简单性溃疡,Evans的vemerola vulgaris,和几个法国病理学家的普通下疳。他说它们是“所有形式的性病溃疡中最常见的”,“它们经常伴有龟头滴漏、尿道淋病和包茎病”,“他观察到这些溃疡导致的各种性病爆发和性病生长。”但是,我是否可以引用每一个人的经验,即使他有有限的机会来判断他是否多次遇到过淋病合并疮,在其他情况下,他应该立即说这是梅毒,并以此对待。
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