Seal A
Can J Surg. 1981 Jul;24(4):427-33.
The author traces the history of appendicitis through the successive stages of its evolution--from the early anatomic descriptions of the appendix by Leonardo da Vinci and Vesalius to Louyer-Villermay's recognition of the fatal course that appendiceal inflammation may take; through the confusion of typhlitis and perityphlitis, until Reginald Fitz at the end of the last century classified its pathology and the disease appendicitis was born. The author has described the efforts of the early surgeons as they grew to understand the symptomatology of appendicitis and to realize that only by early operation could the tragic outcome of delay be averted. Credit is given to those whose contributions have advanced the frontiers of surgery-- Lawson Tait was the first to diagnose and remove a diseased appendix in 1880 in England and Abraham Groves the first on the North American continent, in 1883, in Ontario. Within a decade, the early surgical treatment of appendicitis became established. The writings of men like Charles McBurney and John B. Murphy are shown to be as pertinent today as they were at the turn of the century.
作者追溯了阑尾炎从其演变的连续阶段开始的历史——从列奥纳多·达·芬奇和维萨里对阑尾的早期解剖学描述，到卢耶 - 维勒迈对阑尾炎症可能导致的致命病程的认识；经历了盲肠炎和盲肠周围炎的混淆阶段，直到上世纪末雷金纳德·菲茨对其病理学进行分类，阑尾炎这一疾病才诞生。作者描述了早期外科医生逐渐了解阑尾炎症状学并意识到只有通过早期手术才能避免延误带来的悲惨后果所付出的努力。那些推动外科手术前沿发展的人的贡献得到了认可——1880年，劳森·泰特在英国首次诊断并切除患病阑尾，1883年，亚伯拉罕·格罗夫斯在北美大陆的安大略省首次进行了此类手术。在十年内，阑尾炎的早期外科治疗得以确立。查尔斯·麦克伯尼和约翰·B·墨菲等人士的著作在今天依然如同世纪之交时一样具有相关性。
