Hirsch J F
Childs Nerv Syst. 1997 Aug-Sep;13(8-9):465-70. doi: 10.1007/s003810050120.
Up to 1960, children in need of neurosurgical treatment in France were treated either in neurosurgical departments where anesthetists, nurses and neurosurgeons had no specialized training in pediatrics or in departments of pediatric surgery in which the specific aspect of neurosurgery was ignored. Clearly a mutation was needed before any progress could be made: the development of pediatric neurosurgery services. This essay tells the story of the creation of the first pediatric neurosurgery service in France, of the difficulties encountered and of the strategies applied to overcome them. It also recalls the discussions about what size such a service should be and whether it should be located in a general hospital or in a pediatric hospital. During the second half of the twentieth century, progress in neurosurgery, and more specifically in pediatric neurosurgery, has been tremendous. The contribution of the pediatric neurosurgery service at Les Enfants Malades in Paris is briefly summarized.
直到1960年，法国需要神经外科治疗的儿童要么在神经外科科室接受治疗，那里的麻醉师、护士和神经外科医生没有儿科方面的专业培训，要么在小儿外科科室接受治疗，而神经外科的具体情况被忽视。显然，在取得任何进展之前都需要进行变革：小儿神经外科服务的发展。本文讲述了法国首个小儿神经外科服务机构的创建历程、遇到的困难以及为克服这些困难所采取的策略。它还回顾了关于这样一个服务机构应该有多大规模以及应该设在综合医院还是儿童医院的讨论。在二十世纪后半叶，神经外科，尤其是小儿神经外科取得了巨大进展。简要总结了巴黎病童医院小儿神经外科服务的贡献。
