Lively Mathew W
Department of Internal Medicine, West Virginia University, P,O, Box 9167, Morgantown, WV 26506, USA.
J Med Case Rep. 2011 Aug 10;5:362. doi: 10.1186/1752-1947-5-362.
Pulmonary contusions typically occur after high-energy trauma and have rarely been reported as occurring during participation in sports. This is the first reported case of a pulmonary contusion occurring in a sport other than football.
A 19-year-old Caucasian man impacted the water awkwardly after diving off a one-meter springboard. He complained of chest discomfort and produced immediate hemoptysis. Computed tomography confirmed the diagnosis of pulmonary contusion. The athlete recovered without complications and returned to activity one week after injury.
Immediate hemoptysis following blunt chest trauma during sports activity may indicate an underlying pulmonary contusion. No specific guidelines exist for return to athletic competition following pulmonary contusion, but a progressive return to activities once symptoms resolve appears to be a reasonable approach.
肺挫伤通常发生在高能创伤后,很少有报道称在参与体育运动时发生。这是首例报道的非足球运动中发生的肺挫伤病例。
一名19岁的白人男性从一米跳板跳水后不慎撞到水。他主诉胸部不适并立即出现咯血。计算机断层扫描确诊为肺挫伤。该运动员康复过程中无并发症,受伤一周后恢复活动。
体育活动期间钝性胸部创伤后立即咯血可能提示潜在的肺挫伤。对于肺挫伤后恢复体育比赛,尚无具体指南,但症状缓解后逐步恢复活动似乎是一种合理的方法。