NILS ROSÉN VON ROSENSTEIN ON THE WHOOPING COUGH OR CHINCOUGH (1776)

[摘要] Nils Rosén von Rosenstein (1706-1773) of Sweden is usually called the founder of modern pediatrics. His textbook, which was published in 1764, was, according to Still, the most progressive which had yet been written.1The description of the clinical course of whooping cough in Rosén von Rosenstein's book gives a lucid account of the clinical course of the disease, including the typical paroxysms.2It comes on only by degrees, and is at first dry, but when it has continued ten or twelve days, it turns humid and the matter which is then coughed up looks ripe; nevertheless it increases more and more, leaving long intervals; the fits return at certain hours, but continue at each time with such violence and for so long a time, that the child grows blue in the face, its eyes look as if they were forced out, and they run besides, and a bleeding of the nose is sometimes brought on; it coughs till it is quite out of breath, that one is in apprehension of its being choaked [sic]; for if the patient now and then is capable of drawing some breath, it is with a sounding which very much indicates with what difficulty the lungs can admit the air. The coughing continues, and does not leave off for that time, till the child vomits up a quantity of slime. If at any time the coughing should intermit without the paroxysm being ended with a vomiting, it will immediately return again, and will not cease but after a vomiting.

[学科分类] 儿科学