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颈部疼痛的现场评估:何时应进行转运?

Sideline evaluation of neck pain: when is it time for transport?

作者信息

Haight R R, Shiple B J

机构信息

Norristown, PA, USA.

出版信息

Phys Sportsmed. 2001 Mar;29(3):45-62. doi: 10.3810/psm.2001.03.672.

DOI:10.3810/psm.2001.03.672
PMID:20086566
Abstract

Both ambulatory and nonambulatory athletes with neck pain require careful evaluation for possible cervical spine injury. The fact that an athlete is ambulatory should not lull the physician into a false sense of security (we offer a case study of a high school football player that makes this point dramatically) and the decision to return a player to the game should not be taken lightly. Symptoms such as neck pain, numbness, loss of range of motion of the neck, paralysis, or loss of consciousness require immediate action to prevent further, and possibly permanent, cervical spinal cord damage.

摘要

患有颈部疼痛的非卧床和卧床运动员都需要仔细评估是否可能存在颈椎损伤。运动员能够行走这一事实不应使医生产生错误的安全感(我们提供了一个高中橄榄球运动员的案例研究,有力地说明了这一点),让运动员重返比赛的决定不应被轻率做出。颈部疼痛、麻木、颈部活动范围丧失、瘫痪或意识丧失等症状需要立即采取行动,以防止颈椎脊髓进一步损伤,甚至可能是永久性损伤。

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