Moffatt Kody, Silberberg Phillip J, Gnarra David J
Creighton University School of Medicine, and Children's Hospital, Omaha, NE, USA.
Med Sci Sports Exerc. 2007 Jun;39(6):899-902. doi: 10.1249/01.mss.0b013e31803d35e7.
Pulmonary emboli are potentially life threatening and are rare in the young, healthy, athletic population. We describe the presentation of pulmonary emboli in an otherwise healthy athlete; this has not been reported previously in the literature. A 16-yr-old male soccer player with no apparent risk factors presented in distress with bilateral pulmonary emboli. An extensive workup did not reveal a cause for this phenomenon. The patient was anticoagulated, and a Greenfield inferior vena cava filter was placed because of recurrent symptoms and poor compliance with anticoagulation. This case report illustrates the importance of considering pulmonary embolism as a diagnosis in athletes who present with sudden onset of dyspnea with no discernable cause. Greenfield filter placement in the management of these cases remains controversial.
肺栓塞有潜在生命危险，在年轻、健康的运动员群体中较为罕见。我们描述了一名原本健康的运动员发生肺栓塞的情况；此前文献中未见相关报道。一名16岁无明显危险因素的男性足球运动员因双侧肺栓塞而痛苦就诊。全面检查未发现此现象的病因。患者接受了抗凝治疗，由于反复出现症状且抗凝治疗依从性差，放置了格林菲尔德下腔静脉滤器。本病例报告说明了对于突发呼吸困难且无明显病因的运动员，将肺栓塞作为诊断考虑的重要性。在这些病例的治疗中放置格林菲尔德滤器仍存在争议。
