O'Connor Tony E, Skinner Liam J, Kiely Patrick, Fenton John E
Department of Otolaryngology-Head and Neck Surgery, Royal Perth Hospital, Wellington St., Perth, WA 6000, Australia.
Ear Nose Throat J. 2011 Aug;90(8):E21-4. doi: 10.1177/014556131109000819.
Splenic rupture is a rare but potentially fatal complication of infectious mononucleosis. Athletes returning to contact sports following infectious mononucleosis are at potential risk of splenic rupture secondary to abdominal trauma. No clear consensus exists as to when it is safe to allow these athletes to return to contact sports. Suggested periods of abstinence have ranged from 2 weeks to 6 months. We outline our experiences with the use of abdominal ultrasonography at 1 month after the diagnosis of infectious mononucleosis as a means of determining when athletes can safely return to contact sports. Our study group was made up of 19 such patients (mean age: 16.7 yr). We found that 16 of these patients (84%) had normal splenic dimensions on ultrasonography 1 month after diagnosis, and they were therefore allowed to return to contact sports. While the remaining 3 patients had an enlarged spleen at 1 month, their splenic dimensions had all returned to normal when ultrasonographic examination was repeated at 2 months postdiagnosis. We conclude that serial abdominal ultrasonography allows for informed decision making in determining when athletes can safely return to contact sports following infectious mononucleosis.
脾破裂是传染性单核细胞增多症一种罕见但可能致命的并发症。传染性单核细胞增多症后恢复接触性运动的运动员有因腹部创伤继发脾破裂的潜在风险。对于何时允许这些运动员安全恢复接触性运动，目前尚无明确共识。建议的禁赛期从2周到6个月不等。我们概述了在传染性单核细胞增多症诊断后1个月使用腹部超声检查来确定运动员何时能安全恢复接触性运动的经验。我们的研究组由19名此类患者组成（平均年龄：16.7岁）。我们发现其中16名患者（84%）在诊断后1个月超声检查脾脏大小正常，因此被允许恢复接触性运动。其余3名患者在1个月时脾脏肿大，但在诊断后2个月重复超声检查时，他们的脾脏大小均已恢复正常。我们得出结论，系列腹部超声检查有助于在确定传染性单核细胞增多症后运动员何时能安全恢复接触性运动时做出明智决策。
