Nerlich Andreas G, Egarter Vigl Eduard, Fleckinger Angelika, Tauber Martina, Peschel Oliver
Institut für Pathologie, Klinikum Bogenhausen, München Klinik gGmbH, Englschalkingerstr. 77, 81925, München, Deutschland.
Landesfachhochschule für Gesundheitsberufe "Claudiana", Bozen, Italien.
Pathologe. 2021 Sep;42(5):530-539. doi: 10.1007/s00292-021-00961-6. Epub 2021 Jul 8.
The comprehensive investigation of the excellently preserved mummy of Ötzi, the Iceman, and his equipment over the last 30 years has provided a wealth of information about the life and disease of this late Neolithic individual. This research has indicated that his origin was from a local southern Alpine population, that he grew up in the valleys of the Southern Alps, and that he had considerable local mobility. He had well-balanced nutrition with a mixed vegetable and animal diet. He was very mobile in the alpine terrain and of athletic constitution. The Iceman suffered from mild to moderate degenerative joint disease primarily of the right hip joint, slight spondylosis of the cervical and lumbar spine, a minor focal (premature) arteriosclerosis, lung anthracosis and possibly silicosis, previous pleuritic inflammation (possibly of post-specific origin), intestinal infections of the stomach by Helicobacter pylori and Trichuris trichiura worm infestation in the intestines, a mild osteomalacia of cancellous bone, and diverse pathologies of his teeth with dental caries and periodontitis, as well as hair anomalies. The presence of borreliosis is still under debate. As potential remedies, the Iceman carried some anthelmintic substances with him: a birch polypore and an anthelmintic fern. The numerous tattoos may also have had therapeutic effects. Finally, the last days of Ötzi could be reconstructed quite precisely: his gastrointestinal content indicates that the Iceman moved from Alpine heights to a lower location and then again up to the glacier region where he died. During this journey he encountered two attacks: the first, several days before his death, lead to a stabbing wound in his right hand; the second was an arrow hit that wounded the Iceman lethally at his left axilla by laceration of the subclavian artery.
在过去30年里,对保存极为完好的冰人奥茨及其装备进行的全面研究,为我们提供了大量关于这位新石器时代晚期个体的生活与疾病的信息。这项研究表明,他起源于阿尔卑斯山南部的当地人群,在南阿尔卑斯山的山谷中长大,并且在当地有相当大的活动范围。他的营养均衡,饮食包含蔬菜和肉类。他在高山地形中活动频繁,体格健壮。冰人患有轻度至中度的退行性关节疾病,主要累及右髋关节,颈椎和腰椎有轻微的脊柱关节病,有轻微的局灶性(过早)动脉硬化、肺煤尘沉着病以及可能的矽肺病,曾有胸膜炎炎症(可能是特异性感染后所致),胃部有幽门螺杆菌引起的肠道感染以及肠道有鞭虫感染,松质骨有轻度骨软化症,牙齿有多种病变,包括龋齿和牙周炎,还有毛发异常。莱姆病是否存在仍存在争议。作为潜在的治疗手段,冰人随身携带了一些驱虫物质:桦褐孔菌和一种驱虫蕨类植物。众多的纹身可能也有治疗作用。最后,奥茨生命的最后几天能够相当精确地被重建:他胃肠道的内容物表明,冰人从高山高处转移到较低位置,然后又回到他死亡的冰川区域。在这段旅程中,他遭遇了两次袭击:第一次,在他去世前几天,导致他右手有一处刺伤;第二次是被箭射中,箭伤致使他左腋窝下的锁骨下动脉撕裂,最终致命。