“巧合过头了”：同一场比赛中患劳力性热射病的同卵双胞胎

'Too much of a coincidence': identical twins with exertional heatstroke in the same race.

作者信息

Smith R, Jones N, Martin D, Kipps C

机构信息

Department of Sport and Exercise Medicine, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, Oxon, UK.

UCL Centre for Altitude, Space and Extreme Environment Medicine, Institute of Sport, Exercise and Health (ISEH), London, UK.

出版信息

BMJ Case Rep. 2016 Feb 5;2016:bcr2015212592. doi: 10.1136/bcr-2015-212592.

DOI:10.1136/bcr-2015-212592

PMID:26851253

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4746505/

Abstract

This report discusses a unique case of monozygotic male twins who both collapsed with exertional heat stroke (EHS) during the same marathon in relatively cool conditions. The twins were official race pacers in a popular city marathon held in the early spring in the UK. Both recovered uneventfully due to the prompt recognition of EHS and use of aggressive cooling measures, which prevented life-threatening complications. The case illustrates that EHS is a complex illness with a possible genetic predisposition, which can occur among runners even in cooler conditions. This link is explored together with the influence of their role as race pacers and the additional backpack worn in the development of EHS.

摘要

本报告讨论了一例独特的单卵男性双胞胎病例，他们在英国早春举行的一场相对凉爽的城市马拉松比赛中均因运动性中暑（EHS）而晕倒。这对双胞胎是该热门城市马拉松比赛的官方配速员。由于对EHS的及时识别和积极采取降温措施，两人均顺利康复，避免了危及生命的并发症。该病例表明，EHS是一种可能具有遗传易感性的复杂疾病，即使在较凉爽的环境中，跑步者也可能发生。本文探讨了这一关联，以及他们作为配速员的角色和额外背负的背包在EHS发病过程中的影响。