Quinlan J F, McCarthy C J, McGlone B, Magee D J
Irish Rugby Football Union, Dublin, Republic of Ireland.
J Sports Med Phys Fitness. 2010 Mar;50(1):68-71.
The authors present the case of an amateur under-18 international squad Rugby Union player who sustained a Grade III splenic rupture while scoring a try. He was admitted to hospital and treated with strict bedrest following initial computed tomography (CT) evaluation. He maintained hemodynamic stability throughout and registered no drop in hemoglobin. A repeat CT scan five days later showed no radiological progression and he was discharged with instructions to avoid exercise for three months. A follow-up CT scan performed at 10 weeks after the injury showed radiological resolution but the decision was made to avoid physical contact for a further three months. The player made a full recovery and is now back playing representative rugby. This report reviews the management and raises the question as to when players should be allowed back to play contact sports following a splenic rupture.
作者介绍了一名18岁以下国际橄榄球联盟业余球员的病例，该球员在一次达阵得分时脾脏发生了III级破裂。他入院后，在最初的计算机断层扫描（CT）评估后接受了严格的卧床休息治疗。他在整个过程中保持血流动力学稳定，血红蛋白没有下降。五天后重复进行的CT扫描显示没有放射学进展，他出院了，并被指示避免运动三个月。受伤10周后进行的随访CT扫描显示放射学上已恢复，但决定再避免身体接触三个月。该球员完全康复，现在又回到了代表球队打橄榄球的行列。本报告回顾了该病例的处理情况，并提出了脾脏破裂后球员何时应被允许重返接触性运动的问题。
