Searching the Roots of Erb's Auscultation Point: Mystery solved
Searching the Roots of Erb's Auscultation Point: Mystery solved
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DOI：
10.1055/a-0596-4733
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发表时间：
2018-12-01
影响因子：
0.6
通讯作者：
Winkelmann, Andreas
中科院分区：
文献类型：
--
作者：
Kolb, Frederick;Spanke, Johannes;Winkelmann, Andreas
“Erb点”是心脏检查的第五个听诊点，位于靠近胸骨的第三肋间隙。它有时被归因于著名的德国神经学家威廉·海因里希·埃尔布（Wilhelm Heinrich Erb，1840-1921），但没有历史证据。Erb对神经学的关注表明，听诊点可能与以Erb命名的颈部其他点混淆。由于Erb是梅毒神经系统表现的专家，我们推测，在Erb的听诊点听到的最好的由梅毒性心包炎引起的主动脉瓣关闭不全的心脏杂音，将Erb的名字与听诊点联系起来。然而，我们最终找到了一位美国医生的出版物，他参观了埃尔布在海德堡的讲座，并报告说，埃尔布在19世纪90年代末的病例报告中明确介绍了这一“第五点”。毕竟，Erb是全科医学的主席，第一个德国神经病学主席直到1919年才成立。
" Erb's point" is the fifth point of auscultation for the heart exam, located in the third intercostal space close to the sternum. It has sometimes been attributed to famous German neurologist Wilhelm Heinrich Erb (1840-1921), but without historical evidence. Erb's focus on neurology suggested that the auscultation point may have been confused with other points in the neck named after Erb. As Erb was a specialist for neurological manifestations of syphilis, we speculated that the heart murmur of aortic incompetence produced by syphilitic aortitis, best heard at Erb's point, linked Erb's name to the auscultation point. However, we eventually found a publication by an American physician who visited Erb's lectures in Heidelberg and reported that Erb explicitly introduced this" fifth point" in his case presentations in the late 1890 s. After all, Erb was chair of general medicine, with the first German chair of neurology only being established in 1919.