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乔瓦尼·巴蒂斯塔·莫尔加尼及其对小儿外科的贡献。

Giovanni Battista Morgagni and his contribution to pediatric surgery.

作者信息

Zani Augusto, Cozzi Denis A

机构信息

Pediatric Surgery Unit, University of Rome La Sapienza, 00161 Rome, Italy.

出版信息

J Pediatr Surg. 2008 Apr;43(4):729-33. doi: 10.1016/j.jpedsurg.2007.12.065.

Abstract

Pediatric surgery is a less than a century old surgical specialty. However, early knowledge of human malformations and pediatric surgical conditions dates back to centuries before. One of the main contributors to progress in these fields was Giovanni Battista Morgagni (1682-1771), who also had a substantial weight in the development of future pediatric surgery. With his masterpiece De Sedibus et Causis Morborum per Anatomen Indagatis (On the Seats and Causes of Diseases Investigated by Anatomy) (1761), he set the basis for modern pathology. In this textbook, Morgagni was the first to describe anatomical elements like the trigonum sternocostale dextrum (the Morgagni's foramen), the appendix testis (the Morgagni's hydatid), and the vertical folds of distal rectum (the Morgagni's columns). He was also the first to describe pediatric pathological conditions like epispadia, meconium peritonitis, Crohn's disease, and coarctation of the aorta. Finally, he substantially contributed to the understanding of the pathophysiology of conditions like the vesico-ureteral reflux, the anterior wall defects (gastroschisis/omphalocele), and the spina bifida. For this, it was said of him: "If all the anatomical findings made by Morgagni should bear his name, probably one third of human body would be called Morgagni's."

摘要

小儿外科是一个历史不到一个世纪的外科专业。然而,人类畸形和小儿外科疾病的早期知识可以追溯到几个世纪以前。这些领域取得进展的主要贡献者之一是乔瓦尼·巴蒂斯塔·莫尔加尼(1682 - 1771),他在未来小儿外科的发展中也有着举足轻重的地位。凭借他的杰作《论疾病的部位和病因》(1761年),他奠定了现代病理学的基础。在这本教科书中,莫尔加尼首次描述了诸如右胸骨旁三角(莫尔加尼孔)、睾丸附件(莫尔加尼囊)和直肠远端垂直皱襞(莫尔加尼柱)等解剖结构。他也是第一个描述小儿病理状况的人,如尿道上裂、胎粪性腹膜炎、克罗恩病和主动脉缩窄。最后,他对诸如膀胱输尿管反流、前壁缺损(腹裂/脐膨出)和脊柱裂等疾病的病理生理学理解做出了重大贡献。为此,人们这样评价他:“如果莫尔加尼所发现的所有解剖结构都以他的名字命名,那么人体大概有三分之一会被称为莫尔加尼结构。”

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