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[体育运动中的轻度头部损伤。发生率、处理、后遗症及预防]

[Minor head injuries in sport. Occurrence, management, sequelae and prevention].

作者信息

Ingebrigtsen T, Romner B, Waterloo K, Trumpy J H

机构信息

Nevrokirurgisk avdeling, Regionsykehuset i Tromsø.

出版信息

Tidsskr Nor Laegeforen. 1996 Dec 10;116(30):3594-7.

PMID:9019871
Abstract

Approximately 10% of all head injuries are caused during sport and about 10% of all sport-related injuries are head injuries. Most of these are minor head injuries. Many sports involve risk of repeated head injury. The classic punch-drunk syndrome in boxers reflects severe chronic traumatic encephalopathy. Recent research shows that repeated head injury can entail encephalopathy also in other types of athletes. They may experience symptoms such as headache, dizziness, irritability, memory deficit and concentration deficit. Neuropsychological testing reveals such cognitive deficits as impaired memory and attention, and reduced speed of information processing. Persistent sequelae can be prevented by correct management in the acute stage, appropriate follow-up, and prevention of repeated head injuries.

摘要

所有头部损伤中约10%是在运动过程中造成的,而所有与运动相关的损伤中约10%是头部损伤。其中大多数是轻度头部损伤。许多运动都存在反复头部受伤的风险。拳击手中典型的“拳击醉酒综合征”反映了严重的慢性创伤性脑病。最近的研究表明,反复头部受伤在其他类型的运动员中也可能导致脑病。他们可能会出现头痛、头晕、易怒、记忆缺陷和注意力不集中等症状。神经心理学测试显示出诸如记忆力和注意力受损以及信息处理速度降低等认知缺陷。通过急性期的正确处理、适当的随访以及预防反复头部受伤,可以预防持续性后遗症。

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