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设施有限国家中神经外科的作用:事实与挑战

The Role of Neurosurgery in Countries with Limited Facilities: Facts and Challenges.

作者信息

Servadei Franco, Rossini Zefferino, Nicolosi Federico, Morselli Carlotta, Park Kee B

机构信息

Department of Neurosurgery, Humanitas University, Pieve Emanuele (MI), Italy; Department of Neurosurgery, Humanitas Clinical and Research Center, Rozzano MI, Italy; World Federation of Neurosurgical Societies, Nyon, Switzerland.

Department of Neurosurgery, Humanitas Clinical and Research Center, Rozzano MI, Italy.

出版信息

World Neurosurg. 2018 Apr;112:315-321. doi: 10.1016/j.wneu.2018.01.047. Epub 2018 Jan 31.

DOI:10.1016/j.wneu.2018.01.047
PMID:29366998
Abstract

The Lancet Commission on Global Surgery has recently focused its attention on the lack of surgical care worldwide. Like other surgical subspecialties, neurosurgical care needs to be better distributed around the world, with a major focus on low- to middle-income countries. Neurosurgical diseases like hydrocephalus, traumatic brain injury, and brain tumors have a high impact on families, individual quality of life, and cost for the society. Implementation of neurosurgical care in poor settings is not easy. More than other surgeries, neurosurgery requires great amounts of human resources, dedicated environments, and specialized postoperative care. It is responsibility of the neurosurgical community to identify major areas of current gaps and outline strategies for intervention.

摘要

柳叶刀全球外科委员会最近将注意力集中在全球外科护理的匮乏上。与其他外科亚专业一样,神经外科护理需要在全球范围内得到更合理的分配,主要关注点是低收入和中等收入国家。脑积水、创伤性脑损伤和脑肿瘤等神经外科疾病对家庭、个人生活质量以及社会成本都有很大影响。在贫困地区实施神经外科护理并非易事。与其他手术相比,神经外科手术需要大量的人力资源、专门的环境和专业的术后护理。神经外科界有责任找出当前的主要差距领域,并概述干预策略。

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