Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA, USA.
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, University of Pittsburgh, Pittsburgh, PA, USA.
Clin Sports Med. 2019 Oct;38(4):497-511. doi: 10.1016/j.csm.2019.06.003. Epub 2019 Jul 29.
Concussion is a challenging and controversial medical diagnosis that can test even the most seasoned practitioner. Knowledge on this topic is ever evolving. It was not so long ago that grading guidelines were based on loss of consciousness and amnesia. Medicine has seen a renaissance of discovery over the past 20 years in concussion evaluation and management. A PubMed search for "concussion" between 1990 and 2000 produced just over 1000 articles and that same search including the last 18 years expands to over 10,000 publications. The most recent knowledge and recommendations are discussed based on the published evidence.
脑震荡是一种具有挑战性和争议性的医学诊断，即使是经验丰富的医生也可能难以判断。这个领域的知识在不断发展。就在不久前，脑震荡的分级标准还基于意识丧失和遗忘。在过去的 20 年中，脑震荡的评估和管理方面出现了许多新的发现，医学领域也因此发生了变革。在 1990 年至 2000 年期间，在 PubMed 上以“脑震荡”为关键词进行搜索，仅产生了 1000 多篇文章，而包含过去 18 年的相同搜索则扩展到了 10000 多篇出版物。本文将根据现有证据讨论最新的知识和建议。
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