中国体育科技
中國體育科技
중국체육과기
China Sport Science and Technology
2015年
6期
139-141
,共3页
运动%肺出血%病例报道%咯血%血气屏障%医务监督
運動%肺齣血%病例報道%咯血%血氣屏障%醫務鑑督
운동%폐출혈%병례보도%각혈%혈기병장%의무감독
exercise%pulmonary hemorrhage%case report%hemoptysis%blood-gas barrier%medi-cal supervision
总结1例剧烈运动致肺出血患者的临床特点与诊疗方案，为预防此罕见病症的发生提供依据。某中年男性，剧烈运动后出现呼吸困难、胸闷、咳血样痰、头晕等症状，入院后经胸部CT 检查和实验室检查并结合运动史诊断为运动致肺出血。经一般支持性治疗后，患者病情明显好转并于1周内出院。患者1个月后康复并逐渐恢复规律运动习惯，随访8个月至今未发生呼吸系统并发症。本病例提示，对于体育运动爱好者，应根据自身的体能水平和机能状态制定和实施健身计划，尽量少进行长时间、高强度甚至极量运动；有咯血病史者在康复后应循序渐进的恢复运动习惯并加强运动医务监督。
總結1例劇烈運動緻肺齣血患者的臨床特點與診療方案，為預防此罕見病癥的髮生提供依據。某中年男性，劇烈運動後齣現呼吸睏難、胸悶、咳血樣痰、頭暈等癥狀，入院後經胸部CT 檢查和實驗室檢查併結閤運動史診斷為運動緻肺齣血。經一般支持性治療後，患者病情明顯好轉併于1週內齣院。患者1箇月後康複併逐漸恢複規律運動習慣，隨訪8箇月至今未髮生呼吸繫統併髮癥。本病例提示，對于體育運動愛好者，應根據自身的體能水平和機能狀態製定和實施健身計劃，儘量少進行長時間、高彊度甚至極量運動；有咯血病史者在康複後應循序漸進的恢複運動習慣併加彊運動醫務鑑督。
총결1례극렬운동치폐출혈환자적림상특점여진료방안，위예방차한견병증적발생제공의거。모중년남성，극렬운동후출현호흡곤난、흉민、해혈양담、두훈등증상，입원후경흉부CT 검사화실험실검사병결합운동사진단위운동치폐출혈。경일반지지성치료후，환자병정명현호전병우1주내출원。환자1개월후강복병축점회복규률운동습관，수방8개월지금미발생호흡계통병발증。본병례제시，대우체육운동애호자，응근거자신적체능수평화궤능상태제정화실시건신계화，진량소진행장시간、고강도심지겁량운동；유각혈병사자재강복후응순서점진적회복운동습관병가강운동의무감독。
To summarize the clinical characteristics and diagnose and treat protocol in a patient of strenuous exercise induced pulmonary hemorrhage and provide evidence for preventing the rare illness .A middle‐aged male occurred symptom of dyspnea ,chest distress ,hemoptysis and dizziness after a bout of strenuous exercise and diagnosed exercise induced pulmonary hemor‐rhage by thoracic CT detection and laboratory examination in hospital .The patient’s pathoge‐netic condition obviously improved through general support treatment and discharge from hos‐pital within a week .He recovered regular exercise habit gradually after rehabilitation in a month and did not develop complication of respiratory system from follow‐up till now (added to eight months ) .The case of the present disease suggested that for non‐athletes of sports fan ,institution and implementation of exercise plan should be conducted according to physical fitness and function state and not perform long duration ,high‐intensity even maximal exercise as far as possible .The individuals of hemoptysis history should restore exercise habit gradually after rehabilitation and enhance medical supervision during exercise .
