与运动相关的脑震荡的诊断及场边处理

Diagnosis and Sideline Management of Sport-Related Concussion.

作者信息

Gregory Andrew, Poddar Sourav

机构信息

Vanderbilt University Medical Center, Vanderbilt Sports Medicine, Medical Center East, Suite 3200, Nashville, TN 37232, USA.

Family Medicine and Orthopedics, University of Colorado School of Medicine, CU Sports Medicine Center, 2000 South Colorado Boulevard, The Colorado Center Tower One, Suite 4500, Denver, CO 80222, USA.

出版信息

Clin Sports Med. 2021 Jan;40(1):53-63. doi: 10.1016/j.csm.2020.08.011.

DOI:10.1016/j.csm.2020.08.011

PMID:33187613

Abstract

The diagnosis of sport-related concussion is still based primarily on history and physical examination. Use of a standardized history and examination form is recommended. There have been many tests investigated, but none have been proven to be sensitive and specific for the diagnosis of concussion. Sideline management is based on recognition, diagnosis, and initial treatment. It is clear that symptoms of a concussion can worsen with continued play, and so, if a concussion is suspected based on observation, history, and physical examination, then the athlete should be removed from play.

摘要

与运动相关的脑震荡的诊断仍主要基于病史和体格检查。建议使用标准化的病史和检查表。已经对许多测试进行了研究，但没有一项被证明对脑震荡的诊断具有敏感性和特异性。场边管理基于识别、诊断和初始治疗。很明显，脑震荡的症状会随着继续比赛而加重，因此，如果根据观察、病史和体格检查怀疑有脑震荡，那么运动员应被禁止继续比赛。