Düsel W, Lieber A, Lenz S, Doll D
Chirurgische Abteilung, Bundeswehrkrankenhaus Berlin.
Chirurg. 2005 Oct;76(10):935-44. doi: 10.1007/s00104-005-1091-1.
On military missions abroad, surgical care for penetrating abdominal injuries differentiates from that given at home. The different conditions in the field usually include a single general surgeon with no further specialists or hospitals to rely upon. Thus a mismatch between treatment capacity and needs can be experienced in mass casualty situations. Therefore the focus is on damage control surgery, getting patients fit for evacuation, and transport home under intensive care if needed. Knowledge of ballistics and explosive devices are adjunct fields of interest, as they improve the understanding and treatment of military injuries. Although these aspects add up to additional training requirements to be met by our surgeons, we are convinced that the new German education standards will allow successful training of future military surgeons.
在国外军事任务中，腹部穿透伤的外科治疗与国内有所不同。战场上的不同情况通常包括只有一名普通外科医生，没有其他专科医生或医院可供依靠。因此，在大规模伤亡情况下，可能会出现治疗能力与需求不匹配的情况。所以重点在于损伤控制手术，使患者适合后送，并在必要时在重症监护下转运回国。弹道学和爆炸装置知识是相关的附加关注领域，因为它们有助于提高对军事创伤的理解和治疗。尽管这些方面增加了我们外科医生需要满足的额外培训要求，但我们相信新的德国教育标准将使未来军事外科医生的培训取得成功。
