Department of Neurology, Mayo Clinic College of Medicine, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA.
Department of Neurology, Mayo Clinic College of Medicine, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA.
Med Clin North Am. 2019 Mar;103(2):251-261. doi: 10.1016/j.mcna.2018.10.005. Epub 2018 Dec 3.
Concussion is a public health crisis affecting vulnerable populations including youth athletes. As awareness increases, more patients with acute concussion are seeking medical evaluations. Internists are frontline medical providers and thus should be able to identify, diagnose, manage, and know when to refer patients with concussion. Management of concussion includes rapid removal from play, symptomatic treatment, and return to learn/play recommendations. Inappropriate management may lead to recurrent concussions, prolonged recovery, and potential long-term consequences. Understanding the key features of diagnosis, postinjury assessment tools, symptomatic treatment, and management of concussion, including return to learn/play recommendations, is essential for primary care providers.
脑震荡是一个公共卫生危机，影响到包括青年运动员在内的脆弱人群。随着人们意识的提高，越来越多的急性脑震荡患者寻求医疗评估。内科医生是一线医疗服务提供者，因此应该能够识别、诊断、管理脑震荡患者，并知道何时转介。脑震荡的管理包括迅速停止运动、对症治疗和恢复学习/运动的建议。不当的管理可能导致反复脑震荡、恢复时间延长和潜在的长期后果。了解脑震荡的诊断、损伤后评估工具、对症治疗和管理的关键特征，包括恢复学习/运动的建议，对初级保健提供者至关重要。
