Deady B, Innes G
Royal Columbian Hospital New Westminster, BC, Canada.
J Emerg Med. 1999 May-Jun;17(3):459-62. doi: 10.1016/s0736-4679(99)00006-2.
Despite the use of protective gear, a 15-year-old hockey player died when he was struck in the chest by a puck. This is the fifth recorded hockey death related to so-called commotio cordis, that is, blunt chest injury without myocardial structural damage. In light of inadequacies of commercial chest protectors currently in use for hockey, the authors hope to educate players and coaches about the danger of blocking shots with the chest. Physicians should be aware that commotio cordis represents a distinctive pathological condition, in the event of which immediate recognition, precordial thump, CPR, and defibrillation are potentially lifesaving. Appropriate medical supervision at amateur hockey games, 911 telephone access, and on-site automated external defibrillators are issues that deserve careful consideration.
尽管使用了防护装备，但一名15岁的曲棍球运动员被冰球击中胸部后死亡。这是有记录以来第五起与所谓心脏震荡相关的曲棍球死亡事件，即胸部钝性损伤但无心肌结构损伤。鉴于目前曲棍球使用的商用胸部护具存在不足，作者希望教育球员和教练用胸部挡球的危险性。医生应意识到心脏震荡是一种独特的病理状况，一旦发生，立即识别、胸前区叩击、心肺复苏和除颤可能挽救生命。业余曲棍球比赛中的适当医疗监督、拨打911电话的途径以及现场自动体外除颤器都是值得仔细考虑的问题。
