Pitlyk P J
Mil Med. 1996 Aug;161(8):462-4.
The rigid character of the skull provides protection for the brain; in trauma, however, concomitant brain swelling, contusion, and possible hematoma create increased intracranial pressure and likely further injury to brain and components. Rapid alleviation of such pressure reduces mortality and morbidity. Standard of care in neurosurgery mandates complex diagnostic and surgical facilities. Such is not available at forward echelons of deployed military medical units. The author compares the austerity of forward-located neurosurgery against that farther to the rear and recommends the former on the merits of the major reduction of time between injury and surgery.
颅骨的坚硬特性为大脑提供保护；然而在创伤情况下，随之而来的脑肿胀、挫伤以及可能出现的血肿会导致颅内压升高，并可能对大脑及其组成部分造成进一步损伤。迅速缓解这种压力可降低死亡率和发病率。神经外科的护理标准要求具备复杂的诊断和手术设施。而在部署的军事医疗单位的前沿梯队中无法提供这些设施。作者将前沿神经外科手术的简易条件与后方条件进行了比较，并基于受伤与手术之间时间大幅缩短的优势推荐采用前者。
