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托尔斯泰关于五例胸部创伤病例的报告:及其与当代军事外科经验的相关性。

Tolstoy's report of five cases of chest trauma: its relevance to contemporary military surgical experience.

作者信息

Molnar Tamas F, Lukacs Laszlo

机构信息

Faculty of Medicine, University of Pécs, H-7633, Pécs, Ifjusag u 13, Hungary.

出版信息

World J Surg. 2006 Aug;30(8):1400-2. doi: 10.1007/s00268-005-0691-8.

DOI:10.1007/s00268-005-0691-8
PMID:16865319
Abstract

Fragments of the history of trauma care, an important part of our surgical heritage, can offer a relevant message to contemporary science, even at the level of statistical evaluations. A surprisingly good match of results using two distinctively different approaches for calculating survival after a chest injury is reported in a historical model. Statistical data published by French and British surgeons serving in the Crimean War (1853-1856) were found to conform with the analysis of literary observations in Leo Tolstoy's Sebastopol Sketches. The nearly complete agreement on survival probabilities from two sources so different in their nature highlights the question of the relevance of nonstatistical methods in other fields of surgery as well.

摘要

创伤护理历史的片段是我们外科遗产的重要组成部分,即使在统计评估层面,也能为当代科学提供相关信息。在一个历史模型中,报告了使用两种截然不同的方法计算胸部损伤后生存率时,结果惊人地吻合。人们发现,在克里米亚战争(1853 - 1856年)中服役的法国和英国外科医生公布的统计数据,与列夫·托尔斯泰的《塞瓦斯托波尔速写》中的文学观察分析相符。这两个性质如此不同的来源在生存概率上几乎完全一致,这也凸显了非统计方法在其他外科领域的相关性问题。

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本文引用的文献

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Changing dogmas: history of development in treatment modalities of traumatic pneumothorax, hemothorax, and posttraumatic empyema thoracis.
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Medical advances during the Civil War.美国内战时期的医学进步。
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