Department of Neurosurgery, Boston Medical Center, Boston, MA, USA.
Phys Sportsmed. 2010 Oct;38(3):18-26. doi: 10.3810/psm.2010.10.1804.
Fatalities in boxing are most often due to traumatic brain injury that occurs in the ring. In the past 30 years, significant improvements in ringside and medical equipment, safety, and regulations have resulted in a dramatic reduction in the fatality rate. Nonetheless, the rate of boxing-related head injuries, particularly concussions, remains unknown, due in large part to its variability in clinical presentation. Furthermore, the significance of repeat concussions sustained when boxing is just now being understood. In this article, we identify the clinical manifestations, pathophysiology, and management of boxing-related head injuries, and discuss preventive strategies to reduce head injuries sustained by boxers.
拳击运动中导致死亡的主要原因是在拳击台上发生的创伤性脑损伤。在过去的 30 年中，拳击台和医疗设备、安全性和规则的显著改进，使得死亡率大幅下降。尽管如此，由于拳击运动中脑损伤（尤其是脑震荡）的临床表现存在很大差异，其发病率仍不清楚。此外，拳击运动中反复脑震荡的意义目前才刚刚被认识到。在本文中，我们将确定与拳击相关的头部损伤的临床表现、病理生理学和治疗方法，并讨论减少拳击手头部受伤的预防策略。
