Sportsmed SA, 32 Payneham Road, Stepney, South Australia, 5069.
World J Emerg Med. 2011;2(3):234-6. doi: 10.5847/wjem.j.1920-8642.2011.03.015.
There have been numerous reports of sudden cardiac death attributable to the condition of commotio cordis. Primarily, these are reports from the USA. Although three Australian cases have been mentioned in the published literature, the present case appears to be the first described Australian case.
A man was brought to the Emergency Department after sudden collapse while playing cricket. His medical history was suggestive of hitting by a cricket ball while batting.
The epidemiology and mechanism of arrhythmia induction in commotio cordis are discussed. The emergency management of commotio cordis is outlined.
Commotio cordis is rare in sports (and Emergency Medicine). However it has a high mortality rate, and rapid recognition of the condition allows early defibrillation, generally with a good outcome. The improvement of participant care is recommended at community and other sport events.
有许多报道称，心因性震荡可导致心搏骤停。这些报道主要来自美国。尽管在已发表的文献中提到了三例澳大利亚病例，但本例似乎是首例描述的澳大利亚病例。
一名男子在打板球时突然倒地，被送往急诊科。他的病史提示击球时被板球击中。
讨论了心因性震荡心律失常诱导的流行病学和机制。概述了心因性震荡的紧急处理方法。
心因性震荡在运动（和急诊医学）中较为罕见。但是，它的死亡率很高，迅速识别病情可尽早进行除颤，通常预后良好。建议在社区和其他运动赛事中改善参赛者的护理。
