Newall Nicola, Bodkin Peter
University of Aberdeen, Aberdeen, UK,
Aberdeen Royal Infirmary, Aberdeen, UK.
J R Coll Physicians Edinb. 2019 Mar;49(1):70-77. doi: 10.4997/JRCPE.2019.115.
A neurosurgical unit was established in Aberdeen Royal Infirmary (ARI) in 1948 with the appointment of Martin Nichols as its first full-time neurosurgeon. Despite there being no formal neurosurgical ward or specialist dedicated to neurosurgery in ARI prior to this, a number of neurosurgical procedures were undertaken between 1920 and 1940. From 1923 to 1932, the procedures were predominantly cranial and were performed by general surgeons. The operations evolved in 1933 to include the spine and peripheral nerves after the arrival of Sir James Learmonth. This paper chronicles the development of surgical neurology at the ARI in the 30 years preceding a formal unit. It considers the factors and background that enabled neurosurgical practices to be undertaken and led to evolution of neurosurgery from general surgery.
1948年，阿伯丁皇家医院（ARI）设立了神经外科病房，马丁·尼科尔斯被任命为首位全职神经外科医生。尽管在此之前ARI没有专门的神经外科病房或神经外科专科，但在1920年至1940年间进行了一些神经外科手术。1923年至1932年期间，手术主要集中在颅脑方面，由普通外科医生进行。1933年詹姆斯·利尔蒙特爵士到来后，手术范围扩大到包括脊柱和周围神经。本文记录了ARI在正式设立神经外科病房前30年里外科神经学的发展历程。它探讨了促成神经外科手术开展的因素和背景，以及神经外科从普通外科演变而来的过程。
