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与运动相关的闭合性头部损伤的急性和长期管理。

Acute and long-term management of sports-related closed head injuries.

作者信息

Asthagiri Ashok R, Dumont Aaron S, Sheehan Jonas M

机构信息

Department of Neurological Surgery, University of Virginia School of Medicine, Box 212, Charlottesville, VA 22908, USA.

出版信息

Clin Sports Med. 2003 Jul;22(3):559-76. doi: 10.1016/s0278-5919(02)00111-4.

DOI:10.1016/s0278-5919(02)00111-4
PMID:12852686
Abstract

Aggressive participation in athletics is rewarded in many ways in our society. As long as there is such strong impetus for participation in athletics, the risks of head injuries for participants will remain. Important strides made in understanding of the pathophysiology of head injuries may lead to improved treatment strategies in the future. In light of the current lack of effective therapies, however, the best options remain injury prevention, early and appropriate recognition, and limitation of subsequent, further injury. Frequently the medical staff is encouraged to allow the athlete to return to play based on the desires of the coach, team, fans, parents, and even the athlete himself. A thorough understanding of the potentially serious risks of repetitive injury, however, mandates that only a proper conservative period of observation and evaluation will best serve the competitor.

摘要

在我们的社会中,积极参与体育运动在许多方面都会得到回报。只要存在如此强烈的参与体育运动的动力,参与者头部受伤的风险就会一直存在。在理解头部损伤病理生理学方面取得的重要进展可能会在未来带来改进的治疗策略。然而,鉴于目前缺乏有效的治疗方法,最好的选择仍然是预防损伤、早期和适当的识别以及限制后续的进一步损伤。医护人员经常受到鼓励,根据教练、团队、球迷、家长甚至运动员本人的意愿,允许运动员重返赛场。然而,对重复性损伤潜在严重风险的透彻理解要求,只有适当的保守观察和评估期才最有利于运动员。

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