背景:由于第二次世界大战的爆发和医院的撤离,斯特拉斯堡皮肤病诊所的活动于1939年9月中断。在把阿尔萨斯吞并到帝国之后,德国当局要求医生重返工作岗位,在皮肤科诊所恢复,现在完全是德国化的,特别是皮肤病理学实验室。我们的目标是研究1939年至1945年之间组织病理学实验室的活动。
方法:我们研究了三个用德语编写的寄存器中包含的所有组织病理学报告。我们收集了病人数据,临床要素和显微镜诊断。1940年9月至1945年3月期间共有1202例。记录保存得很好,实现详尽的分析。
结果:病例数在1941年达到峰值,此后减少。患者平均年龄49岁,性别比为0.77。患者从阿尔萨斯或其他帝国地区转诊;法国其他地区或其他国家的转诊已经停止。皮肤病理学655例,肿瘤病变占主导地位,其次是感染和炎症性皮肤病。我们注意到547例非皮肤疾病,主要是妇科,泌尿科,在耳朵里,鼻子,喉咙和消化手术;它们的数量在1940-41年达到顶峰,然后逐渐减少。
结论:与战争有关的中断表现为德语的使用和科学出版物的停止。医院中缺乏普通病理学家导致许多普通病理学病例。皮肤活检主要是诊断性的,重点是皮肤癌,而炎症和传染病在战前占主导地位。在这些档案中没有发现与不道德的人体实验有关的数据痕迹,与斯特拉斯堡真正被纳粹化的其他机构形成鲜明对比。
结论:来自斯特拉斯堡皮肤病学诊所的这些数据包含有价值的医学史信息,并提供了对职业下实验室功能的见解。
BACKGROUND: The activity of the Strasbourg Dermatology Clinic was interrupted in September 1939 by the outbreak of the Second World War and the evacuation of the hospital. After annexing Alsace to the Reich, the German authorities demanded that physicians return to work, which resumed at the Dermatology Clinic, and was now entirely Germanized, in particular the laboratory of dermatopathology. Our aim was to study activity in the histopathology laboratory between 1939 and 1945.
METHODS: We studied all the histopathology reports contained in three registers written in German. We collected patient data, clinical elements and diagnoses by microscopy. There were a total of 1202 cases between September 1940 and March 1945. The records were in a good state of preservation, enabling exhaustive analysis.
RESULTS: The number of cases peaked in 1941 and diminished thereafter. The average age of patients was 49 years, and the sex ratio was 0.77. Patients were referred from Alsace or other Reich territories; referrals from other regions of France or other countries had ceased. There were 655 cases in dermatopathology, with a predominance of tumor lesions, followed by infections and inflammatory dermatoses. We noted 547 cases of non-cutaneous diseases, mainly in gynecology, urology, and in ear, nose, throat and digestive surgery; their numbers peaked in 1940-41, then tapered off progressively.
CONCLUSIONS: Thedisruptions associated with thewar were manifested by the use of German language and the cessation of scientific publications. The lack of general pathologists in the hospital resulted in numerous cases in general pathology. Skin biopsies were mainly diagnostic and focused on skin cancers, whereas inflammatory and infectious diseases predominated before the war. No traces of data related to unethical human experimentation were identified in these archives, in contrast to other institutes in Strasbourg that were truly Nazified.
CONCLUSIONS: These data from the Strasbourg Dermatology Clinic contain valuable information for the history of medicine and provide an insight into the functioning of a laboratory under the Occupation.