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从当代医学伦理学角度看勒内·勒里什与《外科手术哲学》

René Leriche and "Philosophy of Surgery" in the light of contemporary medical ethics.

作者信息

Akça Tamer, Aydın Süha

机构信息

Mersin University Medical Faculty, Department of General Surgery, Mersin, Turkey.

出版信息

Ulus Cerrahi Derg. 2013 Sep 1;29(3):131-8. doi: 10.5152/UCD.2013.2248. eCollection 2013.

Abstract

Prof. Dr. René Leriche was a famous French surgeon who lived between 1879 and 1955. After working as a vascular surgeon in Lyon, he was appointed professor at the University of Strasbourg in 1924 and later the Paris Collége de France in 1937. Leriche had proposed vascular patches as the ideal treatment for obliterated vascular segments and advocated the necessity of sympathectomy in arterial diseases in the 1920s. He defined "Leriche Syndrome" in 1923 which is known by his name and which develops as a result of incomplete obstruction of the aortic bifurcation. René Leriche wrote a monograph entitled "La Chirurgie de la Douleur-Pain Surgery" in 1940 and he also became a pioneer in the sympathectomy procedure for pain treatment. René Leriche focused on topics that must be remembered again today, including surgery advanced into science, the physiological basis of surgery, research methods, as well as issues such as business technology, humanity in surgery, surgical essence and surgeon's qualifications in the book entitled "La Philosophie de la Chirurgie-Philosophy of Surgery" that he wrote in 1951. In this review, the issues that Prof. Dr. René Leriche addressed in middle of the 20(th) century were revised in the light of contemporary medical ethics.

摘要

勒内·勒里什教授是一位著名的法国外科医生,生活于1879年至1955年之间。在里昂担任血管外科医生后,他于1924年被任命为斯特拉斯堡大学教授,后来在1937年成为巴黎法兰西学院教授。勒里什在20世纪20年代提出用血管补片作为闭塞血管段的理想治疗方法,并主张在动脉疾病中进行交感神经切除术的必要性。他在1923年定义了以他的名字命名的“勒里什综合征”,该综合征是由于主动脉分叉不完全阻塞而发展形成的。勒内·勒里什在1940年撰写了一本名为《疼痛外科学》的专著,他还成为了疼痛治疗交感神经切除术的先驱。勒内·勒里什在他1951年撰写的《外科学哲学》一书中关注了一些至今仍需再次铭记的主题,包括外科学向科学的迈进、外科手术的生理基础、研究方法,以及商业技术、外科手术中的人文性、外科手术本质和外科医生资质等问题。在这篇综述中,根据当代医学伦理学对勒内·勒里什教授在20世纪中叶所探讨的问题进行了修订。

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