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14- السماعة الطبية رينيه لينيك فرنسي 1818م

- يتيم الام وعمره خمس سنوات او 6 سنوات بسبب مرض السل.
- انتقل للعيش مع عمه الراهب.
- وهو في سن الثانية عشرة انتقل للعيش مع عمه الاخر في مدينة نيس حيث كان يدرس الطب.
- انقطع عن دارسة الطب بتشجيع من الده وعايش حياة الهبي لسنوات يكتب الشعر ويسير مسافات طويلة.
- في سن الثامنة عشرة انتقل الى باريس واستكمل دراسة الطب.


رينيه لينيك هو طبيب فرنسي عاش خلال نهاية القرن الثامن عشر ومطلع القرن التاسع عشر، وهو مخترع السماعات الطبيّة.
<H2>اختراع السماعة الطبية</H2><H2>دكتور فرنسي اسمه بالفرنسية René Laennec ولد في باريس عام 1781 وتوفي في عام 1826 بعد أن أسدى للبشرية اختراع لا غنى عنه كان بفضل الله الذي سخر له العقل والفكر. حيث استدعي الدكتور "رينيه لاينك" في عام 1816 لفحص فتاة من مرض في قلبها. وأبت الفتاة أن تسمح للطبيب بوضع أذنه على صدرها كما جرت العادة في ذلك الحين. وتصادف أن وجد بجوارها صحيفة فلفها على شكل أسطوانة، ووضع طرفاً منها على صدرها والطرف الاخر على أذنه، فدهش حين سمع دقات القلب بوضوح، وما أن فرغ من فحصها حتى كانت قد اختمرت في راسه فكرة (السماعة) التي يستعملها الأطباء اليوم في مختلف أنحاء العالم.</H2>قد كان موقف تلك المريضة هو من هدى تفكير الدكتور الفرنسي "رينيه لاينك" إلى ابتكار السماعة الطبية حيث تطورت من الأنبوبة الورقية الملفوفة على نفسها إلى أسطوانة وخشبية طولها قدم ولها أذينة مستدقة الطرف
وبعد التطور ومراحل التفكير الطويلة تبلور الابتكار لتصبح السماعة على هيئتها الحالية وهي عبارة عن أذنيتين مناسبتين للأذان تتصلان بواسطة أنابيب مرنة من المطاط بصدر جهاز رصد، يعمل على تكبير ونقل أصوات القلب والرئتين. وللراصد الصدري جانبان عادة، أحدهما جرس قليل العمق ذو إطار مطاطي يلتقط النغمات منخفضة التردد، وعلى الجانب الآخر غشاء يشبه الطبق يعزل الأصوات عالية التردد.


René Laennec

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René Laennec
نقره لعرض الصورة في صفحة مستقلة

René Laennec
Born17 February 1781
Quimper, FranceDied13 August 1826
Ploaré, FranceCitizenshipFranceNationalityFrenchKnown forInvented the stethoscope
René-Théophile-Hyacinthe Laennec[1] (French: [laɛnɛk]; 17 February 1781 – 13 August 1826) was a French physician. He invented the stethoscope in 1816, while working at the Hôpital Necker and pioneered its use in diagnosing various chest conditions.
He became a lecturer at the Collège de France in 1822 and professor of medicine in 1823. His final appointments were that of Head of the Medical Clinic at the Hôpital de la Charité and Professor at the Collège de France. He died of tuberculosis in 1826.

Early life and personality

Laennec was born in Quimper (Brittany). His mother died of tuberculosis when he was five or six, and he went to live with his grand-uncle the Abbé Laennec (a priest).
At the age of twelve he proceeded to Nantes where his uncle, Guillaime-François Laennec, worked in the faculty of medicine at the university. Laennec was a gifted student, he learned English and German, and began his medical studies under his uncle's direction.
His father (a lawyer) later discouraged him from continuing as a doctor and René then had a period of time where he took long walks in the country, danced, studied Greek and wrote poetry.

However, in 1799 he returned to study. Laennec studied medicine in Paris under several famous physicians, including Dupuytren and Jean-Nicolas Corvisart-Desmarets. There he was trained to use sound as a diagnostic aid. Corvisart advocated the re-introduction of percussion during the French Revolution. Laennec was a devout Catholic. He was noted as a very kind man and his charity to the poor became proverbial.
The invention of the stethoscope


Laennec wrote the classic treatise De l'Auscultation Médiate, published in August 1819. The preface reads:
In 1816, I was consulted by a young woman laboring under general symptoms of diseased heart, and in whose case percussion and the application of the hand were of little avail on account of the great degree of fatness. The other method just mentioned [direct auscultation] being rendered inadmissible by the age and sex of the patient, I happened to recollect a simple and well-known fact in acoustics, ... the great distinctness with which we hear the scratch of a pin at one end of a piece of wood on applying our ear to the other. Immediately, on this suggestion, I rolled a quire of paper into a kind of cylinder and applied one end of it to the region of the heart and the other to my ear, and was not a little surprised and pleased to find that I could thereby perceive the action of the heart in a manner much more clear and distinct than I had ever been able to do by the immediate application of my ear.


Laennec had discovered that the new stethoscope was superior to the normally used method of placing the ear over the chest, particularly if the patient was overweight. A stethoscope also avoided the embarrassment of placing the ear against the chest of a woman.
نقره لعرض الصورة في صفحة مستقلة نقره لعرض الصورة في صفحة مستقلة
The first drawing of a stethoscope, 1819


نقره لعرض الصورة في صفحة مستقلة نقره لعرض الصورة في صفحة مستقلة
A modern stethoscope


Laennec is said to have seen schoolchildren playing with long, hollow sticks in the days leading up to his innovation.[4] The children held their ear to one end of the stick while the opposite end was scratched with a pin, the stick transmitted and amplified the scratch. His skill as a flautist may also have inspired him. He built his first instrument as a 25 cm by 2.5 cm hollow wooden cylinder, which he later refined to comprise three detachable parts.
His clinical work allowed him to follow chest patients from bedside to the autopsy table. He was therefore able to correlate sounds captured by his new instruments with specific pathological changes in the chest, in effect pioneering a new non-invasive diagnostic tool. Laennec was the first to classify and discuss the terms rales, rhonchi, crepitance, and egophony – terms that doctors now use on a daily basis during physical exams and diagnoses.[4] In February 1818, he presented his findings in a talk at the Academie de Medecin, later publishing his findings in 1819.
Laennec coined the phrase mediate auscultation (indirect listening), as opposed to the popular practice at the time of directly placing the ear on the chest (immediate auscultation). He named his instrument the stethoscope, from stethos (chest), and skopos (examination).
نقره لعرض الصورة في صفحة مستقلة نقره لعرض الصورة في صفحة مستقلة
One of the original stethoscopes belonging to Rene Theophile Laennec made of wood and brass


Not all doctors readily embraced the new stethoscope. Although the New England Journal of Medicine reported the invention of the stethoscope two years later, in 1821, as late as 1885 a professor of medicine stated, "He that hath ears to hear, let him use his ears and not a stethoscope." Even the founder of the American Heart Association, L. A. Connor (1866–1950) carried a silk handkerchief with him to place on the wall of the chest for ear auscultation.[5]
Laennec often referred to the stethoscope as "the cylinder," and as he neared death only a few years later, he bequeathed his own stethoscope to his nephew, referring to it as "the greatest legacy of my life."
The modern binaural stethoscope with two ear pieces was invented in 1851 by Arthur Leared. George Cammann perfected the design of the instrument for commercial production in 1852, which has become the standard ever since.

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