摆动,编织,崩溃和死亡-防止拳击死亡在环

Nitin K Sethi
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摘要

背景:职业拳击是一项风靡全球的格斗运动。不幸的是,这项运动也有很高的脑震荡风险和更严重的创伤性脑损伤(TBI)。在一项运动中,每一拳打在对手头上都是为了通过击倒对手(KO)获胜,TBI是一种无处不在的危险。外伤性硬膜下血肿是导致拳击相关死亡的最常见原因。拳击手要么在比赛中倒在拳击场上,要么在比赛结束后立即倒下。讨论:患有创伤性硬膜外和硬膜下血肿的拳击手通常会有一段清醒的间歇期,然后随着血肿的扩大,神经系统会迅速恶化。意识的迅速丧失导致昏迷状态。脑水肿的发展和继发性缺血性损伤是延迟性神经系统恶化的其他因素。结论:裁判和场边医生都应该意识到急性创伤性脑损伤的临床表现,以便及时停止比赛,不要太早,但绝对不要太迟!创新的解决方案有助于在拳击场上上演悲剧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bobbing, weaving, collapsing and dying-preventing boxing deaths in the ring
Background: Professional boxing is a popular combat sport around the world. It is unfortunately also a sport which carries a very high risk of concussion and more severe forms of traumatic brain injury (TBI). In a sport where every punch thrown to the opponent’s head is thrown with the intention of winning by causing a knockout (KO), TBI is an omnipresent danger. Traumatic subdural hematoma is the most common cause of boxing related mortality. The boxer either collapses in the ring during the fight or in the immediate aftermath of the fight. Discussion: Boxers with traumatic epidural and subdural hematoma often have a lucid interval and then exhibit rapid at times precipitous neurological deterioration as the hematoma expands. Rapid loss of consciousness follows leading to a comatose state. Development of brain edema and secondary ischemic injury are the other substrates of delayed neurological deterioration. Conclusion: Both the referee and the ringside physician (s) should be aware of this clinical presentation of acute TBI so that the fights can be stopped in a timely fashion, neither too early but certainly never too late! Innovate solutions can help present tragedies in the ring.
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