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解决战争冲突国家中的神经外科挑战。

Addressing neurosurgical challenges in war conflict countries.

机构信息

Department of Research, Medical Research Circle (MedReC), Bukavu, DR, Congo.

ShifaTameer-e-millat University, Islamabad, Pakistan.

出版信息

Neurosurg Rev. 2024 Aug 1;47(1):390. doi: 10.1007/s10143-024-02655-y.

Abstract

The Russo-Ukrainian war caused significant humanitarian and healthcare issues in the Russo-Ukrainian region, which were further aggravated by the escalation of the conflict on February 2022. Because of this ongoing confrontation between the two nations, which has its roots in geopolitical conflicts and historical events, there have been nearly 4 million refugees in only the first month, and 906 healthcare institutions have sustained significant damage. Consequently, the demand for medical services has increased, adding onto the burden of the pre-existing problems within the region's healthcare system, such as inequities, budget shortages, and corruption. With nearly 500,000 military deaths and an estimated 27,1499 civilian casualties, the war's immediate health effects are devastating. Due to inadequate disease surveillance and difficulties with immunization, the risk of infectious illnesses, particularly HIV/AIDS and tuberculosis, increased. Although there were originally few mental health problems, the long-term effects are yet unknown. Some of the indirect effects are the severe refugee situation, the burden on public infrastructure, and problems with the security of food and water. Unprecedented obstacles confronted neurosurgery in the Russo-Ukrainian region, including increased patient loads from war-related cases, resource limitations, and facility devastation. Many countries stepped up to aid in managing neurosurgeries however, the some of the problems still persisted, such as insufficient sterility and power outages. Strengthened security standards, financial incentives, telemedicine services, and cooperation with international medical organizations are the main points of recovery recommendations. Rebuilding the region's healthcare system and guaranteeing ongoing foreign support after the conflict require a comprehensive strategy that addresses both short- and long-term issues.

摘要

俄乌战争在俄乌地区造成了重大的人道主义和医疗保健问题,而 2022 年 2 月冲突的升级使这些问题进一步恶化。由于这两个国家之间存在地缘政治冲突和历史事件等根源的持续对抗,仅在第一个月就有近 400 万难民,906 家医疗机构遭受了重大破坏。因此,医疗服务的需求增加了,这增加了该地区医疗保健系统中已经存在的不平等、预算短缺和腐败等问题的负担。由于近 50 万军人死亡和估计有 271499 名平民伤亡,战争对健康的直接影响是毁灭性的。由于疾病监测不足和免疫接种困难,传染病的风险增加,特别是艾滋病毒/艾滋病和结核病。虽然最初几乎没有心理健康问题,但长期影响尚不清楚。一些间接影响是严重的难民情况、公共基础设施的负担以及食品和水安全问题。俄乌地区的神经外科面临着前所未有的障碍,包括与战争有关的病例增加、资源有限和设施破坏导致的患者负担增加。许多国家加紧援助管理神经外科手术,然而,一些问题仍然存在,例如无菌条件不足和停电。加强安全标准、财政激励、远程医疗服务以及与国际医疗组织的合作是恢复建议的要点。重建该地区的医疗保健系统并确保冲突后持续的外国支持需要一项全面的战略,既要解决短期问题,也要解决长期问题。

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