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奥卢斯·科尔内利乌斯·塞尔苏斯(公元前25年 - 公元50年)对眼睑手术的贡献。

The contribution of Aulus Cornelius Celsus (25 B.C.-50 A.D.) to eyelid surgery.

作者信息

Lazzeri Davide, Agostini Tommaso, Figus Michele, Nardi Marco, Spinelli Giuseppe, Pantaloni Marcello, Lazzeri Stefano

机构信息

Plastic and Reconstructive Surgery Unit, Hospital of Pisa, Pisa, Italy.

出版信息

Orbit. 2012 Jun;31(3):162-7. doi: 10.3109/01676830.2011.648816.

Abstract

An accurate study of ancient medicine reveals that our forebears developed a large number of surgical ideas and techniques considered to be quite modern. Although the contribution of Aulus Cornelius Celsus to the development of several branches of surgery has already been celebrated, scant attention has been focused on his description of eyelid surgery in the seventh book of his encyclopedia, De Medicina octo libri. Although the practice was quite advanced by that time, the first century A.D., Celsus was the first among the Greco-Roman authors to deal systematically with ophthalmology and oculoplastic surgery. He was a compiler, and many of his "innovations" were in fact done in principle by others. Yet it is almost certain that the surgical procedures presented were introduced more than 15 centuries before the time of Celsus by Egyptians, Indian surgeons, and Greek and Alexandrian doctors. The burning of the Ancient Library of Alexandria as well as the perishing of many writings of pioneer physicians resulted in a tragic loss of ancient knowledge for posterity. Celsus, whose work has been preserved in our time, helped to publicize this ancient knowledge, and perhaps because of the loss of so much early medical literature, became one of the most influential experts on ancient medicine. An analysis of how previous authors have influenced Celsus' description of eyelid surgery and reflections on how modern his ideas (or those of his time) were are presented in the paper.

摘要

对古代医学的精确研究表明,我们的祖先提出了大量被认为相当现代的外科理念和技术。尽管奥卢斯·科尔内利乌斯·塞尔苏斯对外科多个分支的发展所做的贡献已为人所赞誉,但人们很少关注他在其百科全书《医学八卷》第七卷中对眼睑手术的描述。尽管在公元一世纪那个时候这种手术已经相当先进,但塞尔苏斯是希腊 - 罗马作者中第一个系统论述眼科和眼部整形手术的人。他是一个汇编者,他的许多“创新”实际上在原则上是其他人已经做过的。然而几乎可以肯定的是,所呈现的外科手术程序在塞尔苏斯时代的15个多世纪之前就已被埃及人、印度外科医生以及希腊和亚历山大城的医生引入。亚历山大古代图书馆的焚毁以及许多先驱医生著作的失传,给后代造成了古代知识的悲惨损失。塞尔苏斯的著作在我们这个时代得以保存,他帮助传播了这些古代知识,也许正是由于如此多早期医学文献的遗失,他成为了古代医学最有影响力的专家之一。本文分析了先前作者如何影响塞尔苏斯对眼睑手术的描述,并思考了他(或他那个时代)的观点有多现代。

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