《autopsy diagnosis and technic》PDF下载

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  • 出版年份:2222
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1.HISTORICAL INTRODUCTION 1

2.AUTHORIZATION FOR AUTOPSY 14

3.GENERAL TECHNICAL CONSIDERATIONS 35

4.UNEXPECTED DEATH FROM NATURAL CAUSES,ACCIDENTAL DEATH,AND MEDICOLEGAL CASES 53

5.AUTOPSY ON PATIENTS WHO HAVE BEEN EXPOSED TO OR TREATED WITH RADIOACTIVE ISOTOPES 78

6.EXTERNAL EXAMINATION:EXAMINATION OF THE BREAST AND SEROUS CAVITIES;REMOVAL OF ORGANS 82

Breast 99

Peritoneal Cavity 111

Thoracic Cavity 118

Pleural Cavity 121

Pericardial Cavity 123

Removal of Organs 128

7.EXAMINATION OF THE INTERNAL ORGANS AND TISSUES 151

Veins 151

Lymph Vessels 154

Celiac Plexus 157

Lymph Nodes 157

Suprarenals 160

8.MALE GENITOURINARY TRACT 167

Kidneys 167

Pelves and Ureters 191

Urinary Bladder and Urethra 193

Prostate 197

Testis,Epididymis,Spermatic Cord,Seminal Vesicle,Scrotum,and Penis 200

9.RECTUM 209

10.FEMALE GENITALIA 210

Vulva 214

Bartholin Gland 216

Vagina 216

Cervix and Uterus 217

Fallopian Tubes 222

Ovaries 223

11.NECK ORGANS AND ORAL CAVITY 229

Parathyroid Glands 229

Thyroid 235

Oral Cavity,Tonsils,Palate,Pharynx,Salivary Glands,Malignant Tumors of the Epipharynx,and Teeth 239

12.NOSE AND ACCESSORY SINUSES 250

13.ESOPHAGUS,LARYNX,TRACHEA,AND BRONCHI 254

Esophagus 254

Larynx,Trachea,and Bronchi 256

14.CHEST ORGANS 262

Thymus 262

Lungs 264

Heart and Aorta(Arteries) 283

15.GASTROINTESTINAL TRACT 325

Intestines 328

Stomach 342

16.GALLBLADDER AND BILE DUCTS 349

17.LIVER 354

18.PANCREAS 366

19.SPLEEN 371

20.SKULL,MENINGES,EAR,BRAIN,HYPOPHYSIS,AND PINEAL BODY 383

Dura Mater(Pachymeninx) 387

Pia and Arachnoid(Leptomeninges) 390

Hypophysis 417

Pineal Body 420

21.SPINAL CORD 421

22.PERIPHERAL NERVES 426

23.SKELETAL AND MUSCLE SYSTEM 428

Bones 428

Cartilage 443

Joints 444

Skeletal Muscles 448

Tendon and Fascial Sheaths and Bursae 451

24.BLOOD DYSCRASIAS 453

25.AUTOPSIES ON STILLBORNS AND INFANTS 459

26.ANATOMIC FINDINGS IN VITAMIN DEFICIENCIES 470

27.NOTES ON CERTAIN TROPICAL DISEASES 475

28.AUTOPSY TISSUE BANKING TECHNICS 482

29."DO"OR"DON'T"AND CERTAIN SUGGESTIONS FOR QUICK ORIENTATION 492

30.NOTE ON AUTOPSIES ON EMBALMED AND DECOMPOSED BODIES 501

31.WEIGHTS AND MEASUREMENTS OF ORGANS 507

INDEX 513

ILLUSTRATIONS 28

1A.Form of Autopsy Authorization(Front) 28

1B.Form of Autopsy Authorization(Reverse) 29

2.Postmortem Instruments:Scissors and Knives 37

3.Postmortem Instruments:Saws 38

4.Postmortem Instruments:Hammer,Needle,Chisel,Bone Rongeur 39

5.Postmortem Instruments:Rib Knife,Brunetti's Chisels 40

6.Primary Incision Most Commonly Used 96

7.Primary Incision Continuing to the Middle of the Groin 97

8.Removal of Skin and Muscles from Thorax 98

9.Cutting Through First Intercostal Space 116

10.Method of Opening Thoracic Cavity 117

11.Removal of Sternum and Attached Cartilaginous Portions of Ribs 117

12.Cutting Through First Rib 118

13.Method of Opening Sternoclavicular Joint 119

14.Cutting Through Sternoclavicular Joint 120

15.After the Rectum Has Been Freed 129

16.Cutting Through Left Portion of Diaphragm 130

17.Cutting Through Right Portion of Diaphragm 130

18.Severing Large Branches of Aorta,Trachea,Esophagus,and Soft Tissues Down to Spinal Column 131

19.Cutting Through Tissue Between Aorta and Spinal Column 132

20.Primary Incision in Presence of Previous Operative Incision 135

21.Incisions into the Isolated Heart 142

22.Cutting the Right Atrium Between the Openings of the Superior and Inferior Venae Cavae 143

23.Opening of the Right Ventricle Along the Margo Acutus 144

24.Opening of the Pulmonary Artery 145

25.Opening of the Left Ventricle and Aortic Valve 147

26.Relationship of Femoral Artery,Vein,and Nerve 152

27.Diagram Showing Sites of Origin of Retroperitoneal Tumors 156

28.Section Through Kidney 169

29.Removal of Capsule of Kidney 169

30.Method of Opening Uterine Cavity 211

31.Method of Opening Right and Left Horns of Uterus 211

32.Anomalies of Uterus 213

33.Anomalies of Uterus 214

34.Location of the Parathyroids 230

35.Structures of Anterior and Posterior Cervical Triangles 233

36.Single and Double Incomplete Cleft Lip 240

37.Cleft of Entire Hard and Soft Palate;Tripartite Cleft 240

38.Complete Single Cleft of Entire Soft and Hard Palates 241

39.Section Through Lung(Left Upper Lobe) 265

40.Section Through Lung(Right Upper and Middle Lobes) 266

41.Section Through Heart;Opening Left Ventricle 284

42.Section Through Heart;Cutting Through Righ Ventricle and Atrium 285

43.Continuation of Section Through Right Heart;Opening Pulmonary Valve and Artery 286

44.Continuation of Section Through Left Heart;Opening Mitral Valve and Left Atrium 287

45.Continuation of Section Through Left Heart;Opening Aortic Valve and Aorta 288

46.Distribution of Coronary Arteries as Found in 80 Per Cent of Adult Human Hearts 290

47.Location of the Sinus Node,the Atrioventricular Node,and the Right Bundle of His 291

48.Location of the Left Bundle of His 292

49.Normal Aortic Valve 322

50.Insufficiency of Aortic Valve 322

51.Stenosis of Aortic Orifice 322

52.Involvement of Aortic Valve in Syphilitic Aortitis 322

53.Severing of Uppermost Portion of Jejunum 326

54.Cutting Mesentery Close to Its Attachment to Intestines 326

55.Method of Opening Small Intestine 327

56.Method of Opening Large Intestine 327

57.Abnormalities of Anus 328

58.Method of Opening Duodenum and Stomach 342

59.Portal Ligament and Adjacent Structures 350

60.Section Through Liver 355

61.Section Through Spleen 372

62.Primary Incision Through Scalp 384

63.Line of Opening Skull 385

64.Opening Longitudinal Sinus 386

65.Incision into Dura 387

66.Cutting Through Tentorium 394

67.Incisions for Removal of Block Containing Hypophysis and Internal Carotid Artery 395

68.Diagram of Base of Skull 396

69.Lines of Incisions for Demonstrating the Auditory Apparatus 397

70.Dissection of Fresh Brain;Removal of Hemispheres 402

71.Dissection of Fresh Brain;Dissection of Lateral Ventricles 403

72.Dissection of Fresh Brain;Removal of Corpus Callosum 404

73.Dissection of Fresh Brain;Completion of Dissection of Ventricles 405

74.Dissection of Fresh Brain;Lines of Cutting Through Cerebellum 405

75.Vertical Cross Section Through Formalin-Fixed Brain 406

76.Structures of Brain To Be Examined Histologically for Rabies 411

77.Removal of Spinal Cord 422

78.Various Types of Fractures 434

79.Diagram Showing Osseous Development of Infant at Full Term,and Development of Ossification Centers in Weeks 462

80.Location of Venous Sinuses of the Base of the Skull,the Vein of Galen and the Veins of the Orbit 465

TABLES 112

1.Differential Diagnostic Features of the Origin of Various Types of Fluid Found in the Peritoneal Cavity 112

2.Differential Diagnostic Features of the Origin of Various Types of Fluid Found in the Pleural Cavity 121

3.Differential Diagnostic Features of the Origin of Various Types of Fluid Found in the Pericardial Cavity 125

4.Differential Diagnostic Features of Some Kidney Lesions 184

5.Clinical Differential Diagnostic Outline of Some Kidney Diseases 185

6.Differential Diagnostic Features of the More Common Types of Thyroid Lesions 238

7.Differential Diagnostic Features of Lung Lesions Not Involving an Entire Lobe 280

8.Differential Diagnostic Features of Lung Lesions Involving a Whole Lobe or Entire Lung 282

9.Determination of Approximate Age of Myocardial Infarct 303

10.Differential Diagnostic Features of More Common Types of Endocarditis 310

11.Differential Diagnostic Features of Functional Disturbances of Heart Valves 314

12.Differential Diagnostic Features of Some Intestinal Lesions 334

13.Differential Diagnostic Features of Lesions in Liver 356

14.Differential Diagnostic Features of Lesions Involving Parts of Spleen 373

15.Differential Diagnostic Features of Some Lesions That Involve the Spleen Diffusely 374

16.Criteria for Classification as to Period of Development 463

17.Vitamin Deficiencies—Tissue Affected 472

18.Vitamin Deficiencies—Disease Produced 473

19.Weight of Organs of Children 508