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气喘吁吁的游泳者:这会是游泳诱发的肺水肿吗?

The breathless swimmer: could this be swimming-induced pulmonary edema?

作者信息

Hull James H, Wilson Mathew G

机构信息

Department of Respiratory Medicine, Royal Brompton Hospital, London, SW3 6HP, UK.

Athlete Health and Performance Research Centre, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.

出版信息

Sports Med Open. 2018 Nov 19;4(1):51. doi: 10.1186/s40798-018-0166-8.

Abstract

Swimming-induced pulmonary edema is an infrequently encountered cause of acute respiratory distress in open-water swimmers. The condition can be challenging, with athletes often wanting answers to three main questions regarding (i) a definitive and robust diagnosis, (ii) the risk of recurrence, and (iii) what can be done to avoid recurrence. This commentary provides an overview of the best available evidence, in light of a recently published systematic review.

摘要

游泳诱发的肺水肿是公开水域游泳者急性呼吸窘迫的一个罕见病因。这种情况可能具有挑战性,运动员通常想得到关于三个主要问题的答案:(i)明确而可靠的诊断,(ii)复发风险,以及(iii)如何避免复发。根据最近发表的一项系统评价,本述评概述了现有的最佳证据。

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本文引用的文献

2
Breathless athlete: exercise-induced laryngeal obstruction.
Br J Sports Med. 2018 Sep;52(18):1211-1212. doi: 10.1136/bjsports-2018-099159. Epub 2018 Apr 18.
4
Diagnosis of Swimming Induced Pulmonary Edema-A Review.游泳诱发肺水肿的诊断——综述
Front Physiol. 2017 Aug 31;8:652. doi: 10.3389/fphys.2017.00652. eCollection 2017.
6
Deaths in triathletes: immersion pulmonary oedema as a possible cause.铁人三项运动员死亡:浸没性肺水肿可能是一个原因。
BMJ Open Sport Exerc Med. 2016 Aug 29;2(1):e000146. doi: 10.1136/bmjsem-2016-000146. eCollection 2016.

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