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Уровень 1
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            [DETAIL_TEXT] => 

Историческая справка

Представляет

Раводин Роман Анатольевич
Дерматовенеролог, дерматоонколог, дерматокосметолог
Доктор медицинских наук, доцент
Категория: первая
Консультирует взрослых и детей
Город: Санкт-Петербург
Стаж: 15 лет
Базовое образование:
Военно-медицинская академия им. С.М. Кирова с золотой медалью, 1999
Дополнительное образование:
Адъюнктура при кафедре кожных и венерических болезней Военно-медицинской академии (2002-2005)
Основное место работы:
ООО "НПЦ ЛОГОДЕРМ", Северо-Западный государственный медицинский университет им. И.И. Мечникова,кафедра дерматовенерологии
Должность:
Доцент
Профессиональный опыт:
Занимается лечением и диагностикой всего спектра дерматовенерологических заболеваний, уделяя особое внимание редким и атипичным формам. При необходимости самостоятельно берёт соскобы и мазки, микроскопирует их и выдаёт заключение. Выполняет лазерное удаление невусов (родинок) и опухолей кожи. Является автором и соавтором более 70 научных работ по дерматовенерологии, включая два изобретения.

Данный уровень посвящён основным вехам развития отечественной дерматовенерологии, которые неразрывно связаны с Военно-медицинской академией, и охватывает период с начала 18 века по наши дни. Здесь представлен богатый фактический материал, позволяющий объективно оценить вклад профессоров Военно-медицинской академии в формирование Санкт-Петербургской и собственно русской дерматологической и венерологической научных школ. Особое внимание уделено исследованию биографий основоположников отечественной дерматологии – А.Г. Полотебнова и венерологии – В.М. Тарновского. Отдельный интерес представляют иллюстрации и фотографии, многие из которых опубликованы впервые. В данном историческом разделе представлены биографические данные и направления научных исследований всех профессоров, когда-либо работавших в стенах кафедры кожных и венерических болезней Военно-медицинской академии, что позволяет оценить как научный вклад кафедры, так и её географическое влияние на формирование дерматовенерологических научных школ в других городах России и зарубежья.

[~DETAIL_TEXT] =>

Историческая справка

Представляет

Раводин Роман Анатольевич
Дерматовенеролог, дерматоонколог, дерматокосметолог
Доктор медицинских наук, доцент
Категория: первая
Консультирует взрослых и детей
Город: Санкт-Петербург
Стаж: 15 лет
Базовое образование:
Военно-медицинская академия им. С.М. Кирова с золотой медалью, 1999
Дополнительное образование:
Адъюнктура при кафедре кожных и венерических болезней Военно-медицинской академии (2002-2005)
Основное место работы:
ООО "НПЦ ЛОГОДЕРМ", Северо-Западный государственный медицинский университет им. И.И. Мечникова,кафедра дерматовенерологии
Должность:
Доцент
Профессиональный опыт:
Занимается лечением и диагностикой всего спектра дерматовенерологических заболеваний, уделяя особое внимание редким и атипичным формам. При необходимости самостоятельно берёт соскобы и мазки, микроскопирует их и выдаёт заключение. Выполняет лазерное удаление невусов (родинок) и опухолей кожи. Является автором и соавтором более 70 научных работ по дерматовенерологии, включая два изобретения.

Данный уровень посвящён основным вехам развития отечественной дерматовенерологии, которые неразрывно связаны с Военно-медицинской академией, и охватывает период с начала 18 века по наши дни. Здесь представлен богатый фактический материал, позволяющий объективно оценить вклад профессоров Военно-медицинской академии в формирование Санкт-Петербургской и собственно русской дерматологической и венерологической научных школ. Особое внимание уделено исследованию биографий основоположников отечественной дерматологии – А.Г. Полотебнова и венерологии – В.М. Тарновского. Отдельный интерес представляют иллюстрации и фотографии, многие из которых опубликованы впервые. В данном историческом разделе представлены биографические данные и направления научных исследований всех профессоров, когда-либо работавших в стенах кафедры кожных и венерических болезней Военно-медицинской академии, что позволяет оценить как научный вклад кафедры, так и её географическое влияние на формирование дерматовенерологических научных школ в других городах России и зарубежья.

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ПОЛОТЕБНОВ Алексей Герасимович

Алексей Герасимович Полотебнов по праву считается основоположником отечественной дерматологической школы.

Он родился в январе 1838 года в селе Алексеевском Скопинского уезда Рязанской губернии в семье сельского псаломщика. Начальное образование получил в Скопинском духовном училище, а затем в Рязанской духовной семинарии, откуда в 1858 году (за два года до её окончания) перешел в Медико-хирургическую академию.

Студентом 4-го и 5-го курсов он активно занимался в клинике у С.П. Боткина, написав под его руководством свою первую научную работу «Материалы к изучению действия ртутных препаратов». В 1864 году по окончании академии со степенью лекаря и золотой медалью, Полотебнов был оставлен Конференцией МХА для научного усовершенствования при «alma mater» на 3 года.

Для «специальных занятий» Алексей Герасимович выбрал клинику С.П. Боткина. За это время он опубликовал ряд научных работ, включая: «Паренхиматозное воспаление почек с последующей уремией», «Склероз артериальной системы как причина последовательного страдания сердца», «Развитие гипертрофии левого желудочка сердца у собаки, вызванное постепенной перевязкой обеих сонных и обеих бедренных артерий», «Действие ртути на животных». В конце 1867 года после успешной защиты диссертации на степень доктора медицины А.Г. Полотебнова командируют за границу, где, по настоянию С.П. Боткина, ему предложено заняться изучением дерматологии. Конференция академии согласилась с мнением Боткина и указала Полотебнову на необходимость обратить особое внимание на работу ведущих дерматологических клиник Вены и Парижа.

По приезде в Вену А.Г. Полотебнов на протяжении двух лет усердно занимался в клинике доктора Hebra, также посещая сифилидологические клиники Зигмунда и Цейссля. Из Вены он отправился в Париж в клиники Арди и Базенa, однако французская дерматологическая школа не сильно заинтересовала его. В 1870 году он вернулся в Россию. В 1871 году после прочтения в конференции академии двух пробных лекций: «О значении низших организмов в происхождении инфекционных болезней» и «О лишае золотушных с разбором этой болезненной формы на больных» А.Г. Полотебнова утвердили в звании приват-доцента и поручили ему чтение лекций по кожным болезням студентам и врачам без возложения на него обязанностей заведования кафедрой.

Напомним, что обязанности заведующего кафедрой выполнял до 1873 года ассистент кафедры М.И. Стуковенков, а с 1873 по 1875 год – адъюнкт-профессор В.М. Тарновский. Эти пять лет (с 1871 по 1876 год) до утверждения его в должности адъюнкт-профессора по кафедре дерматологии были, пожалуй, самыми непростыми в жизни А.Г. Полотебнова.

Читая частные лекции по дерматологии, которая была в то время необязательным предметом, и получая за это минимальное денежное вознаграждение, Полотебнов, вероятно, испытывал материальные трудности, но, должно быть, его еще более тяготила неопределенность своего положения в академии. Учебный процесс на вновь организованной кафедре еще не был налажен: помещения не оборудованы, специальный инструментарий и учебная литература отсутствовали, а состав больных был крайне скуден, что также создавало дополнительные сложности в работе. «Необходимо было иметь много энергии, преданности и любви к своему делу, чтобы побороть все неблагоприятные обстоятельства и довести начатое дело до конца с желательным результатом» - писал впоследствии об этом периоде жизни А.Г. Полотебнова профессор С.Т. Павлов.

После объявления конкурса Конференцией академии на замещение вакантной должности заведующего кафедрой кожных болезней в декабре 1876 адъюнкт-профессором по данной кафедре был избран А.Г. Полотебнов.

Конференция академии (1886 год) Полотебнов первый слева верхний ряд
Фото. 8. Конференция академии (1886 год): Нижний ряд слева направо: 1. Тарханов И.Р. (1846-1908) – проф. физиологии; 2. Мержеевский И.П. (1838-1908) – проф. нервных и душевных болезней; 3. Заварыкин Ф.Н. (1835-1905) – проф. гистологии и эмбриологии; 4. Грубер В.Л. (1814-1890) – проф. описательной анатомии; 5. Быков А.М. (1820-1897) – начальник ВМА с 1875 по 1890 годы; 6. Боткин С.П.; 7. Сорокин И.М. (1833-1891) – проф. судебной медицины и токсикологии; 8. Доброславин А.П. (1842-1889) – проф. гигиены; 9. Тарновский В.М. (1837-1906) – проф. сифилидологии. Верхний ряд: первый слева - Полотебнов А.Г. (1836-1907) – проф. дерматологии

После своего избрания на кафедру Алексей Герасимович с присущей ему энергией и принципиальностью принялся за её организацию и оснащение. Вот как он сам описывает это время «В 1868 году, при пересмотре штатов Академии, из сыпного отделения (Клинического госпиталя – ред) сделана самостоятельная Дерматологическая клиника, с самостоятельным, отдельным преподавателем. Такой преподаватель был избран только в конце 1876 года, т.е. через 9 лет после учреждения кафедры, да и то благодаря только Высочайше утвержденной комиссии, временно управлявшей академией. Таким образом, фактическое существование клиники начинается с 1877 года. Читая лекции в звании приват-доцента с 1871/2 по 1876/7 учебный год, я не нашел при сыпном отделении ни одного из самых обыкновенных научных пособий для исследования больных; но раз был избран штатный преподаватель, Академия с первого же года предоставила в его распоряжение вполне достаточные средства (500 р. ежегодно) для устройства кабинета и клиники, а также на другие необходимые расходы». Вскоре Полотебнов добился увеличения коечной емкости клиники, оснастил ее всем необходимым (включая оборудование для электро- и водо-лечения), организовал один из лучших в Европе музей «пластических слепков» (муляжей) заболеваний кожи.

Полотебнов в окружении студентов
Фото. 9. Полотебнов в окружении студентов: лечение электричеством (1887 год)

Постепенно вокруг Полотебнова собрался кружок преданных учеников: Зеленев И.Ф., Стуковенков М.И., Линдстрем А.А., Бруев А.Я. В 1876 и 1883 годах Полотебнов под своей редакцией издает «Руководство к изучению болезней кожи» Ф. Гебры и М. Капоши на русском языке, а в 1886 году – русский перевод учебника Л.А. Дюринга «Болезни кожи». В своих научных трудах А.Г. Полотебнов показал ограниченность локалистического направления немецкой (венской) дерматологической школы и гуморального направления французских дерматологов, рассматривавших кожные заболевания с позиций диатезов и дискразий.

В основу созданного им оригинального научного направления он положил идеи нервизма, отличающие школу С.П. Боткина. Согласно этой концепции болезни кожи рассматриваются как поражение целостного организма, при этом одну из ведущих ролей в их патогенезе играет нервная система. Отсюда вытекает и основной девиз школы Боткина-Полотебнова: «Нужно лечить не болезнь с ее суммой морфологических признаков, а больного в самом широком смысле этого слова». В соответствии с разработанной им концепцией о главенствующей роли функциональных нарушений нервной системы в патогенезе болезней кожи, А.Г. Полотебнов в терапии дерматологических заболеваний уделяет особое внимание устранению нервных расстройств, нормализации функций центральной нервной системы, активно пропагандируют санаторно-курортное лечение.

Основная часть работ А.Г. Полотебнова вошла в книгу «Дерматологические исследования» (1886-87 год), в которой он детально разработал насущные проблемы дерматологии того времени. Это издание надолго стало настольной книгой не одного поколения русских дерматологов. В планах Полотебнова была организация выпуска специального дерматовенерологического журнала, но, к сожалению, он не осуществил эту идею.

Профессор Алексей Герасимович Полотебнов много сделал для становления дерматологического образования в России. Статьей «Современное состояние дерматологии в России» Полотебнов способствовал изменению университетского устава, согласно которому с 1884 года были учреждены самостоятельные кафедры кожных и венерических болезней во всех университетах страны.

Дерматологические исследования с дарственной надписью А.Г. Полотебнова

Рис. 10. Дерматологические исследования с дарственной надписью А.Г. Полотебнова

Только в 1890 году Полотебнов становится экстраординарным, а в 1894 году ординарным профессором академии. Отставка его была обусловлена формальной выслугой 30-летнего срока и последовала в 1894 году. Покинув академию, А.Г. Полотебнов продолжил свою научную деятельность, принимая участие в работе научных конференций и съездов, а также публикуя свои научные труды.

Многие из его учеников впоследствии возглавили дерматологические кафедры: М.И. Стуковенков – в Киевском университете, А.А. Линдстрем – в Томском университете, И.Ф. Зеленев – сначала в Харьковском, а затем в Московском университете. Зеленев сумел осуществить мечту своего учителя, начав издание на собственные средства первого отечественного специализированного журнала по дерматовенерологии - «Русского журнала кожных и венерических болезней». Другой ученик Полотебнова - А.Я. Бруев стал первым профессором-дерматологом в Харьковском университете.