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通过最古老的保存完好的人体解剖(西欧,公元 13 世纪)窥探中世纪解剖学的早期起源。

A glimpse into the early origins of medieval anatomy through the oldest conserved human dissection (Western Europe, 13(th) c. A.D.).

机构信息

Department of Forensic Medicine and Pathology, University Hospital R. Poincaré, Paris, France.

Department of Radiology, University Hospital Pitié-Salpétrière (AP-HP), Paris, France.

出版信息

Arch Med Sci. 2014 May 12;10(2):366-73. doi: 10.5114/aoms.2013.33331. Epub 2013 Feb 28.

Abstract

INTRODUCTION

Medieval autopsy practice is very poorly known in Western Europe, due to a lack of both descriptive medico-surgical texts and conserved dissected human remains. This period is currently considered the dark ages according to a common belief of systematic opposition of Christian religious authorities to the opening of human cadavers.

MATERIAL AND METHODS

The identification in a private collection of an autopsied human individual dated from the 13(th) century A.D. is an opportunity for better knowledge of such practice in this chrono-cultural context, i.e. the early origins of occidental dissections. A complete forensic anthropological procedure was carried out, completed by radiological and elemental analyses.

RESULTS

The complete procedure of this body opening and internal organs exploration is explained, and compared with historical data about forensic and anatomical autopsies from this period. During the analysis, a red substance filling all arterial cavities, made of mercury sulfide (cinnabar) mixed with vegetal oil (oleic and palmitic acids) was identified; it was presumably used to highlight vascularization by coloring in red such vessels, and help in the preservation of the body.

CONCLUSIONS

Of particular interest for the description of early medical and anatomical knowledge, this "human preparation" is the oldest known yet, and is particularly important for the fields of history of medicine, surgery and anatomical practice.

摘要

简介

由于缺乏描述性的医学-外科学文本和保存下来的解剖人体遗骸,中世纪在西欧的尸检实践非常鲜为人知。根据一种普遍的观点,即基督教宗教当局系统反对解剖人体,这一时期目前被认为是黑暗时代。

材料和方法

在私人收藏中发现的一具可追溯到公元 13 世纪的人体尸检标本,为更好地了解这种在特定历史文化背景下的实践提供了机会,即西方解剖学的早期起源。进行了完整的法医人类学程序,辅以放射学和元素分析。

结果

详细解释了这种打开尸体并探索内部器官的完整过程,并与该时期法医和解剖学尸检的历史数据进行了比较。在分析过程中,发现一种填充所有动脉腔的红色物质,由硫化汞(朱砂)与植物油(油酸和棕榈酸)混合而成;它可能被用于通过将这些血管染成红色来突出血管化,并有助于保存尸体。

结论

这种“人体准备”对于描述早期医学和解剖学知识特别有意义,是目前已知的最早的案例,对于医学史、外科学和解剖学实践领域尤为重要。

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