Brennan Fred H, O'Connor Francis G
Uniformed Services University of the Health Sciences, Bethesda, MD, 20814-4799, USA.
Phys Sportsmed. 2005 Mar;33(3):28-35. doi: 10.3810/psm.2005.03.63.
Physicians providing medical coverage at endurance events know that athletes often collapse during the race or shortly after crossing the finish line. An athlete who collapses during a race may have an ominous condition, such as a cardiac or neurologic event. The most common reason that athletes collapse at or shortly after the finish line is exercise-associated collapse, a benign postural hypotensive episode that resolves with rest, oral fluids, and elevation of the lower extremities. Volunteer clinicians at races must be able to quickly determine the cause of collapse and take appropriate steps to ensure that athletes receive proper initial care.
在耐力赛事中提供医疗保障的医生们都知道，运动员常在比赛过程中或冲过终点线后不久出现昏厥。在比赛中昏厥的运动员可能患有严重疾病，比如心脏或神经系统疾病。运动员在冲过终点线时或之后不久昏厥的最常见原因是运动相关性昏厥，这是一种良性体位性低血压发作，通过休息、口服补液以及抬高下肢即可缓解。赛事中的志愿者临床医生必须能够迅速确定昏厥原因，并采取适当措施确保运动员得到妥善的初始治疗。
