Sedivy R, Bankl H C, Stimpfl T, Bankl H, Kürkciyan I
Emergency Department, University of Vienna Medical School, Austria.
Mod Pathol. 1997 Mar;10(3):247-51.
Deaths of young athletes are mainly caused by cardiac problems. Noncardiac deaths are infrequent and related to heat stress, drugs, sickle cell trait, and asthma. Herein, we report the case of a 28-year-old man, who collapsed during a marathon race, within sight of the finish line. Despite immediate resuscitation, he died shortly after hospitalization. Autopsy findings revealed neither unambiguous cardiac nor previously published noncardiac causes. Traumatic or drug-related death was excluded as well. We did find, however, focally hyperinflated pulmonary areas adjacent to atelectasis, interstitial emphysema, and mucosal infoldings of several bronchi. Histologically, two-thirds of medium-sized bronchi presented paucity of cartilages. Hence, the resulting flaccidity of the bronchial wall might cause bronchial obstruction, which we related to the genesis of this sudden and unexpected death.
年轻运动员的死亡主要由心脏问题引起。非心脏性死亡并不常见，与热应激、药物、镰状细胞性状和哮喘有关。在此，我们报告一例28岁男性的病例，他在马拉松比赛接近终点线时突然倒下。尽管立即进行了复苏，但他在住院后不久死亡。尸检结果既未发现明确的心脏病因，也未发现先前公布的非心脏病因。创伤性或药物相关死亡也被排除。然而，我们确实发现，在肺不张附近有局部肺过度充气区域、间质肺气肿以及几个支气管的黏膜皱襞。组织学检查显示，三分之二的中型支气管软骨缺乏。因此，由此导致的支气管壁松弛可能会引起支气管阻塞，我们认为这与这起突然意外死亡的发生有关。
