88th Medical Group, Wright-Patterson Air Force Base, Ohio, USA.
Neurosurg Focus. 2010 May;28(5):Introduction. doi: 10.3171/2010.3.FOCUSMar2010Intro.
For a physician has the worth of many other warriors, both for the excision of arrows and for the administration of soothing drugs. Homer, Iliad XI.514-515 Ever since armed conflict has been used as a means to settle disputes among men, there have been those who have been tasked to mend the wounds that ravage a soldier's body from the weapons of war. The Iliad portrays the pivotal 10th year of the legendary Trojan War, during which a schism in the Greek leadership prolongs the extended siege of the city of Troy. In the midst of this martial epic come the lines quoted above, quietly attesting to the value of the military physician, even under the crude conditions of the Greek Dark Age. They are uttered by Idomeneus, one of the foremost Greeks, when he is enjoining one of his comrades, Nestor, to rescue the injured Greek physician Machaon and take him back from the line to treat his wounds. He is afraid that Machaon will be captured by the Trojans, a loss far greater than that of any other single warrior. Duty to country has helped shape the careers of many neurosurgeons, including iconic US figures such as Harvey Cushing and Donald Matson. This issue of Neurosurgical Focus celebrates the rich history of military neurosurgery from the wars of yesterday to the conflicts of today. We have been humbled by the tremendous response to this topic. The 25 articles within this issue will provide the reader with both a broad and an in-depth look at the many facets of military neurosurgery. We have attempted to group articles based on their predominant topic. We also encourage our audience to read other recently published articles. The first 8 articles relate to the current conflicts in Afghanistan and Iraq. The lead article, written by Randy Bell and colleagues from the National Naval Medical Center and Walter Reed Army Medical Center, discusses what is arguably one of the most important contributions by military neurosurgeons from these 2 conflicts: the rapid and aggressive use of decompressive craniectomies. This is followed by articles on decompressive craniectomy techniques by Ragel and colleagues and cranioplasty outcomes by Stephens and colleagues. After reading these articles, the reader will come away with an appreciation of the often complex nature of wartime penetrating and closed-head injuries and the remarkable recovery that many injured soldiers make with time.
医生的价值堪比众多其他勇士，既擅长取出箭矢，又擅长施予镇痛药物。荷马，《伊利亚特》第十一卷 514-515 自从武装冲突被用作解决人类争端的手段以来，一直有人负责治疗士兵在战争中被武器造成的创伤。《伊利亚特》描绘了传说中的特洛伊战争的第 10 个年头，当时希腊领导层的分歧延长了对特洛伊城的长期围攻。在这部军事史诗中，出现了上面引用的诗句，默默证明了军医的价值，即使在希腊黑暗时代的简陋条件下也是如此。这些诗句是由伊多墨纽斯说出的，他是最杰出的希腊人之一，当时他命令他的一位战友内斯特去营救受伤的希腊军医马卡翁，并把他从战场上带回来治疗伤口。他担心马卡翁会被特洛伊人俘虏，这比失去任何其他单个战士都更糟糕。对国家的责任帮助塑造了许多神经外科医生的职业生涯，包括美国的标志性人物哈维·库欣和唐纳德·马特森。本期《神经外科焦点》庆祝军事神经外科从昨天的战争到今天的冲突的丰富历史。我们对这个话题的巨大反响感到谦卑。本期 25 篇文章将为读者提供对军事神经外科各个方面的广泛而深入的了解。我们试图根据文章的主要主题对文章进行分组。我们还鼓励读者阅读最近发表的其他文章。前 8 篇文章涉及阿富汗和伊拉克的当前冲突。由国家海军医疗中心和沃尔特·里德陆军医疗中心的兰迪·贝尔及其同事撰写的主要文章讨论了军事神经外科医生在这两个冲突中做出的最有价值的贡献之一：快速和积极地进行减压颅骨切开术。随后是拉格尔及其同事撰写的减压颅骨切开术技术文章和斯蒂芬斯及其同事撰写的颅骨成形术结果文章。读者阅读完这些文章后，将对战争期间穿透性和闭合性颅脑损伤的复杂性以及许多受伤士兵随着时间的推移所取得的显著康复有更深刻的认识。
