Duraković Zijad, Misigoj-Duraković Marjeta
Institute for Anthropological Research, Department of Medical Anthropology and Epidemiology, Zagreb, Croatia.
Coll Antropol. 2010 Dec;34(4):1441-3.
A teenager aged 17 was a professional soccer player, and was without symptoms. He died suddenly during physical exercise at the field. All reanimation efforts were unsuccessfull. At the forensic autopsy he had suppurative bacterial tonsillitis, subacute diffuse myopericarditis and narrowing of the ascending aorta of 10 mm. In Croatia the death rate among athletes reached 0.15/100,000, in athletes suffered of acute respiratory tract infections 0.34/100,000, in males who practice exercise recreatively 0.75/100,000 (p = 0.0014), in school children 1.0/100,000 (p = 0.0010). Physical exercise is contraindicated in acute respiratory tract infections. Every such case has to be treated by physician. When to start with physical training after suppurative-bacterial tonsillitis depends on disappearing of clinical signs, normalization of erythrocite sedimentation rate; of white cell count and serum level of C-reactive protein. Physical exercise is contraindicated in patients suffering of myopericarditis for at least 6 months. When to start exercise depends on disappearing of subjective symptoms and normalization of clinical and laboratory findings.
一名17岁的青少年是一名职业足球运动员，且无症状。他在球场进行体育锻炼时突然死亡。所有复苏努力均未成功。法医尸检发现他患有化脓性细菌性扁桃体炎、亚急性弥漫性心肌心包炎以及升主动脉狭窄10毫米。在克罗地亚，运动员中的死亡率为0.15/10万，患有急性呼吸道感染的运动员中死亡率为0.34/10万，进行休闲锻炼的男性中死亡率为0.75/10万（p = 0.0014），在校儿童中死亡率为1.0/10万（p = 0.0010）。急性呼吸道感染时禁止进行体育锻炼。每一例此类情况都必须由医生治疗。化脓性细菌性扁桃体炎后何时开始体育训练取决于临床症状消失、红细胞沉降率正常化、白细胞计数以及血清C反应蛋白水平。患有心肌心包炎的患者至少6个月内禁止进行体育锻炼。何时开始锻炼取决于主观症状消失以及临床和实验室检查结果正常化。
