Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Neurosurg Focus. 2010 May;28(5):E23. doi: 10.3171/2010.2.FOCUS1038.
The contemporary management of projectile head injuries owes much to the lessons neurosurgeons have distilled from their experiences in war. Through early investigation and an increasingly detailed account of wartime clinical experience, neurosurgeons--including the field's early giants--began to gain a greater understanding not only of intracranial missile pathophysiology but also of appropriate management. In this paper, the authors trace the development of the principles of managing intracranial projectile injury from the Crimean War in the 19th century through the Vietnam War to provide a context that frames a summary of today's core management principles.
当代弹丸性颅脑损伤的治疗在很大程度上得益于神经外科医生从战争经验中汲取的教训。通过早期调查和对战争期间临床经验的详细描述，神经外科医生——包括该领域的早期巨头——开始不仅更好地了解颅内弹丸病理生理学，而且还了解适当的治疗方法。本文作者追溯了从 19 世纪克里米亚战争到越南战争期间管理颅内弹丸伤原则的发展，为今天核心治疗原则的总结提供了一个框架。
