游泳诱发的肺水肿：铁人三项相关医疗紧急情况中一个未被充分认识的原因。
Swimming-Induced Pulmonary Edema: An Underrecognized Cause of Triathlon-Associated Medical Emergencies.
作者信息
Barouch Lili A
机构信息
Johns Hopkins University School of Medicine, Department of Medicine, Division of Cardiology, Baltimore, Maryland, USA.
出版信息
JACC Case Rep. 2022 Sep 7;4(17):1094-1097. doi: 10.1016/j.jaccas.2022.05.019.
Abstract
Swimming-induced pulmonary edema is a leading cause of triathlon-associated emergencies and death. Cold water immersion, female sex, age>50, and wetsuit compression are associated risk factors. Pathophysiology is due to increased central blood pooling, leading to increased pulmonary capillary wedge pressure. Treatment is focused on prevention; however, recurrence is common. ().
摘要
游泳诱发的肺水肿是铁人三项相关紧急情况和死亡的主要原因。冷水浸泡、女性、年龄>50岁以及潜水衣压迫是相关危险因素。病理生理学是由于中心血池增加，导致肺毛细血管楔压升高。治疗重点在于预防；然而，复发很常见。（）
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