摘要
本文收集了46例我国运动员非创伤性急死的有关情况,对急死原因进行了分析,14例40岁以上的运动员急死病因为冠心病(n=9)和脑血管病(n=5),32例40岁以下的运动员急死的主要病因为马尼氏综合征(n=5)、心肌炎(n=3)、冠心病(n=6)、冠状动脉先天异常(n=2)、肥厚性心肌病(n=1)、急性胰腺炎(n=3)和脑血管病(n=3)等。本研究发现的一些情况有助于识别运动员非创伤性急死的高危人群,从而提出切实可行的建议,预防运动中急死的发生。
The circumstances surrounding 46 nontraumatic sudden deaths (39 men, 7 women) associated with exer-cise in China were described. The mean age of those who died was 31.0± 13.0 years (ranged 9-63 years). Su-dden death occured during or just after severe exertion in 24 of the 46 cases. The causes of deaths weredetermined by autopsy in 18 cases and diagnosed on the basis of medical history plus a review of symptomsattending death in the other 28 cases. The causes of sudden deaths in 14 cases aged 40 years and above werecoronary heart disease (n = 9) and cerebrovascular disease (n = 5); The major causes of sudden death in 32cases below 40 years of age were Marfan's syndrome (n = 5), myocarditis (n = 3), coronary heart disease (n= 6), congenital coronary abnormalities (n = 2) , hypertrophic cardiomyopathy (n=1), acute pancreatitis (n =3) and cerebrovascular disease (n = 3). Most patients with Marfan's syndrome are usually tall and thin, sothey are often selected as athletes. In order to identify athletes who are 'at risk' of sudden death and to reduce the frequency of sudden deaths, it is important to have medical screening, to give appropriate atten-tion to possible prodromal symptoms and to avoid excessive exercise.
出处
《中国运动医学杂志》
CAS
CSCD
北大核心
1991年第4期219-223,共5页
Chinese Journal of Sports Medicine
