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运动相关虚脱:体位性低血压,还是更致命的问题?

Exercise-associated collapse: postural hypotension, or something deadlier?

作者信息

Speedy Dale B, Noakes Timothy D, Holtzhausen Lucy-May

机构信息

Department of General Practice and Primary Care, University of Auckland, Auckland, NZ.

出版信息

Phys Sportsmed. 2003 Mar;31(3):23-9. doi: 10.3810/psm.2003.03.242.

DOI:10.3810/psm.2003.03.242
PMID:20086459
Abstract

Exercise-associated collapse (EAC) is the most common reason that athletes are treated in the medical tent following an endurance event. The pathophysiology of EAC is postural hypotension that results when the loss of muscle pumping action caused by the cessation of exercise is combined with cutaneous vasodilation. EAC usually occurs after an athlete crosses the finish line. If an athlete collapses during a race, then another serious medical cause is more likely. A brief assessment of the collapsed athlete should be carried out to obtain a working diagnosis. Prompt treatment of EAC includes elevating the legs and pelvis of the athlete.

摘要

运动相关性虚脱(EAC)是耐力运动后运动员在医疗帐篷接受治疗的最常见原因。EAC的病理生理学是体位性低血压,它是由运动停止导致肌肉泵血作用丧失并伴有皮肤血管扩张所引起的。EAC通常发生在运动员冲过终点线之后。如果运动员在比赛中虚脱,那么更有可能是由其他严重的医学原因导致的。应对虚脱的运动员进行简要评估以做出初步诊断。对EAC的及时治疗包括抬高运动员的腿部和骨盆。

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