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19世纪上半叶维尔纽斯病理解剖学的历史概述。

The historical outline of Vilnius pathological anatomy in the first half of the 19th century.

作者信息

Sabat Daniel

机构信息

Department of Pathomorphology, Medical Faculty in Zabrze, Silesian Academy of Medicine, Katowice.

出版信息

Pol J Pathol. 2004;55(2):75-81.

Abstract

The first post mortem examination was performed in Vilnius by a priest Stefan Bisio in 1770. At the end of the 18th century, Jakub Briotet, a surgeon and anatomist, founded a modest anatomical (surgery) study. In 1804, Jan Piotr Frank and his son Józef arrived to Vilnius and became professors of the University. Jan Piotr Frank took charge of the University Teaching Hospital and Józef of the Chair of Pathology. When, in 1805, Józef Frank took charge, after his father, of the University Hospital, he founded the first anatomopathological examination room there. The samples were obtained mainly from post mortem studies--autopsies. Most of the samples kept in spirit in the Frank's room were eaten by the starving French soldiers during the retreat of Napoleon's army. Getting dead bodies for the Universities was easy thanks to Tsar's decrees from the years 1793-1809 which ordered to open dead bodies and collect monsters. Moreover, a permission to transfer dead bodies from military hospitals to the University was issued in 1810. These decrees did not stop the cases of students digging out dead bodies from the graves, which still happened in 1810 and 1817. Józef Frank acknowledged great role of post mortem in medicine teaching. He wrote: an author describing a disease with lethal outcome, who does not mention pathological changes found through autopsy is backward. Beside Frank's study, there was still a study founded by Briotet at the Vilnius University, at the Chair of Anatomy. In 1808, Tsar Alexander I designed ruins of Spaska Orthodox Church for an anatomic theater. After seven year redecoration works, it was opened. Beside the theater, dissection room and Veterinary Institute, the building included zoological, veterinary and anatomical museum. The growing anatomical museum had, in 1841, 2895 preparations including 1239 anatomopathological preparations. After closing down Vilnius University and opening Medical and Surgery Academy, pathological anatomy classes were introduced for the 5th year students in 1834. The first lecturer of pathological anatomy, as an individual subject, was Ludwik Siewruk. He started the classes in 1840 when he took charge of the Chair of Anatomy at the Moscow University. Jan Leonow continued the classes till the closing down of Medical and Surgery Academy by the tsar in 1842. The classes performed by Siewruk and Leonow were limited to lectures. Practical knowledge, autopsies were a part of pathology classes and specific therapy (3rd and 4th years of studies). After the Academy had been closed down, all the exhibits of the Vilnius anatomical museum, including anatomopathological preparations were moved to the anatomical museum of Kiev University. Few of them remained in the Vilnius Medical Society.

摘要

1770年,在维尔纽斯,牧师斯特凡·比西奥进行了首次尸检。18世纪末,外科医生兼解剖学家雅库布·布里奥泰创办了一个规模不大的解剖学(外科)研究机构。1804年,扬·彼得·弗兰克和他的儿子约瑟夫来到维尔纽斯,成为该大学的教授。扬·彼得·弗兰克负责大学教学医院,约瑟夫负责病理学教研室。1805年,约瑟夫·弗兰克在他父亲之后接管了大学医院,他在那里建立了第一个解剖病理学检查室。样本主要取自尸检研究——解剖。在拿破仑军队撤退期间,弗兰克房间里用酒精保存的大多数样本被饥饿的法国士兵吃掉了。多亏了沙皇在1793年至1809年颁布的法令,为大学获取尸体很容易,这些法令命令解剖尸体并收集畸形标本。此外,1810年还发放了将尸体从军事医院转移到大学的许可。这些法令并没有阻止学生从坟墓中挖掘尸体的情况,这种情况在1810年和1817年仍有发生。约瑟夫·弗兰克认识到尸检在医学教学中的重要作用。他写道:一位描述致命疾病的作者,如果没有提及通过尸检发现的病理变化,那他就落后了。除了弗兰克的研究机构外,维尔纽斯大学解剖学教研室还有布里奥泰创办的一个研究机构。1808年,沙皇亚历山大一世将斯帕斯卡东正教教堂的废墟指定为解剖剧场。经过七年的装修工程后,它开放了。除了剧场、解剖室和兽医学院外,这座建筑还包括动物学、兽医学和解剖学博物馆。不断发展的解剖学博物馆在1841年有2895件标本,其中包括1239件解剖病理学标本。在维尔纽斯大学关闭并开办医学与外科学院后,1834年为五年级学生开设了解剖病理学课程。解剖病理学的第一位讲师,作为一门独立学科,是路德维克·谢夫鲁克。1840年,他在担任莫斯科大学解剖学教研室主任时开始授课。扬·莱奥诺夫继续授课,直到1842年沙皇关闭医学与外科学院。谢夫鲁克和莱奥诺夫的课程仅限于讲座。实践知识、解剖是病理学课程和特定疗法(学习的第三年和第四年)的一部分。学院关闭后,维尔纽斯解剖学博物馆的所有展品,包括解剖病理学标本,都被转移到了基辅大学的解剖学博物馆。其中很少一部分留在了维尔纽斯医学协会。

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