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与体育运动有关的脑震荡
原作者: Brian Corwell, 肖锋译 文章来源: 中华急诊医学杂志编辑部 发布日期:2013-02-14

Title: Sports-related Concussion
题目:与体育运动有关的脑震荡
Author 作者: Brian Corwell

Estimated 3.8 million sport-related concussions per year (likely significantly higher due to underreporting)
大概每年会有3百80万与运动有关的脑震荡(有可能因为上报率低,实法率会更高)
Most patients recover within a 7-10 day period
多数病人将在7-10天内恢复
** Children and teenagers require more time than college and professional athletes
**与大学生和专业运动员相比,儿童和青少年需要较长的时间
This "accepted" time for recovery is not scientifically established and there is a large degree of variability based on multiple factors including age (as above), sex & history of prior concussions
 这个“公认”的恢复期是没有任何科学依据的,会受许多因素(包括年龄,性别,和既往脑震荡史)的影响有很大的差异
Approximately 10% of athletes have persistent signs and symptoms beyond 2 weeks (which may represent a prolonged concussion or the development of post-concussion syndrome)
大约有10%的运动员在两星期后还会有持续的体征和症状(可代表过长的脑震荡或脑震荡后综合征的产生)
During this time the patient should have complete rest from all athletic activities, close follow-up with PCP and be educated re concussions.
在这段时间内,病人应该不参与任何的体育活动,与家庭医生密切随访,加强脑震荡方面的教育
If practical, "cognitive rest" should also be prescribed. This is one of the most frequently neglected aspects of post-concussion care and will be discussed in a future pearl.
实际上,还要强调“认知休息”。这是一个在脑震荡后最容易被忽视的问题,我们会在以后讨论。

文章来源:中华急诊医学杂志编辑部