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卫生勤务的最困难的时期是战争初期──1941年夏季和秋季。当时苏联军队在敌人优势兵力的袭击下不得不在艰苦的战斗中撤退。当时的困难的另一原因是苏军卫生人员尚没有在这样大的规模和这样复杂的杂件下进行部队作战卫勤保障工作的必要的经验。下述材料可在某种程度上说明这个问题:在1941年约有60%医生担任军官职务不到五年;医生中受过军事医学教育者只占23%;医生中有战地工作经验者仅占20%。而且,战争初期的医疗后送工作对卫生勤务部门来说无疑是最复杂的。
The most difficult period for sanitation is in the early stages of the war - the summer and autumn of 1941. At that time, the Soviet army had to retreat in a difficult battle under the attack of superior enemy forces. Another reason for the difficulties at that time was that the Soviet health personnel were not yet equipped with the necessary experience of troop combat medical support at such a large scale and under such complicated circumstances. The following sources explain the problem to some extent: About 60% of doctors were military officers in less than five years in 1941; only 23% of them were military medical educators; and only doctors with working experience in the field accounted for only 20%. Moreover, the medical evacuation work in the early stages of the war is undoubtedly the most complicated to the health service department.