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朝鲜战争中外国军医的经验教训:推进创伤外科并为未来冲突做准备。

Lessons from foreign military surgeons in the Korean War: advancing trauma surgery and preparing for future conflicts.

作者信息

Hwang Kun, Park Chan Yong

机构信息

Department of Plastic Surgery, Armed Forces Capital Hospital, Seongnam, Korea.

Department of Anatomy, Ewha Womans University College of Medicine, Seoul, Korea.

出版信息

J Trauma Inj. 2025 Jun;38(2):103-110. doi: 10.20408/jti.2025.0041. Epub 2025 Jun 16.

Abstract

PURPOSE

The Korean War (1950-1953) significantly advanced military medicine, with foreign military surgeons playing a pivotal role in transforming trauma care under extreme conditions.

METHODS

Resources such as PubMed, JSTOR, and reports from participating nations formed the basis of this study. A thorough comparative analysis was performed to examine the similarities and differences in medical practices between the United Nations Command and North Korean forces.

RESULTS

The United States introduced Mobile Army Surgical Hospitals, revolutionizing trauma care by enabling rapid intervention near combat zones. Innovations such as helicopter evacuation, whole blood transfusions, and antibiotic treatments reduced mortality rates among treated soldiers to as low as 3%. British surgeons excelled in managing abdominal wounds and performing orthopedic surgery, often undertaking limb-saving procedures. Field hospitals provided comprehensive care for combat injuries and infectious diseases-a major concern given the inadequate sanitation. The Indian 60th Parachute Field Ambulance treated over 20,000 casualties, demonstrating adaptability in harsh environments. The Indian Field Hospital not only treated military casualties but also provided care to Korean civilians, offering life-saving medical interventions under challenging conditions. Denmark deployed the hospital ship MS Jutlandia, equipped with advanced surgical facilities, enabling a level of medical care that was not practical on land. The Swedish Red Cross Field Hospital in Busan delivered crucial medical aid to both military personnel and civilians; its staff focused on civilian outreach and controlling epidemics, with treatments targeting diseases such as typhoid and tuberculosis. Norwegian mobile surgical teams specialized in rapid interventions near combat zones, performing life-saving operations within hours of injury and thus minimizing complications and increasing survival rates.

CONCLUSIONS

The lessons learned from these contributions continue to influence modern military and civilian healthcare systems, highlighting the importance of innovation, collaboration, and resilience in conflict settings.

摘要

目的

朝鲜战争(1950 - 1953年)极大地推动了军事医学的发展,外国军事外科医生在极端条件下变革创伤护理方面发挥了关键作用。

方法

诸如PubMed、JSTOR等资源以及参与国的报告构成了本研究的基础。进行了全面的比较分析,以研究联合国军司令部和朝鲜军队在医疗实践方面的异同。

结果

美国引入了陆军流动外科医院,通过在战区附近实现快速干预,彻底改变了创伤护理。直升机后送、全血输血和抗生素治疗等创新措施将接受治疗士兵的死亡率降至低至3%。英国外科医生在处理腹部伤口和进行矫形手术方面表现出色,经常进行保肢手术。野战医院为战斗创伤和传染病提供了全面护理——鉴于卫生条件不足,这是一个主要问题。印度第60伞兵野战救护队治疗了超过20000名伤员,展示了在恶劣环境中的适应能力。印度野战医院不仅治疗军事伤员,还为朝鲜平民提供护理,在具有挑战性的条件下提供救命医疗干预。丹麦部署了配备先进外科设施的医院船“日德兰半岛号”,实现了在陆地上难以实现的医疗护理水平。釜山的瑞典红十字会野战医院为军事人员和平民提供了关键医疗援助;其工作人员专注于平民外展和控制疫情,治疗针对伤寒和结核病等疾病。挪威流动外科团队专门在战区附近进行快速干预,在受伤数小时内进行救命手术,从而最大限度地减少并发症并提高生存率。

结论

从这些贡献中吸取的经验教训继续影响着现代军事和民用医疗系统,凸显了冲突环境中创新、协作和适应能力的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b9d/12229808/4fb35fce301f/jti-2025-0041f1.jpg

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