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首页> 外文期刊>Journal of athletic training >A Functional Return-to-Play Progression After Exertional Heat Stroke in a High School Football Player.
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A Functional Return-to-Play Progression After Exertional Heat Stroke in a High School Football Player.

机译：在高中足球运动员中举行的热量中风后的功能回归进展。

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? To present a functional return-to-play (RTP) progression after exertional heat stroke (EHS) in a 17-year-old high school football defensive end (height = 185 cm, mass = 145.5 kg). ? The patient had no pertinent medical history but moved to a warm climate several days before the EHS occurred. After completing an off-season conditioning test (14- × 110-yd [12.6- × 99.0-m] sprints) on a warm afternoon (temperature = approximately 34°C [93°F], relative humidity = 53%), the patient collapsed. An athletic trainer (AT) was called to the field, where he found the patient conscious but exhibiting central nervous system dysfunction. Emergency medical services were summoned and immediately transported the patient to the hospital. ? Exertional heat stroke, heat exhaustion, exertional sickling, rhabdomyolysis, and cardiac arrhythmia. ? The patient was immediately transported to a hospital, where his oral temperature was 39.6°C (103.3°F). He was transferred to a children's hospital and treated for rhabdomyolysis, transaminitis, and renal failure. He was hospitalized for 11 days. After a physician's clearance once the laboratory results normalized, an RTP progression was completed. The protocol began with light activity and progressed over 3 weeks to full football practice. During activity, an AT monitored the patient's gastrointestinal temperature, heart rate, rating of perceived exertion, fluid consumption, and sweat losses. ? Documentation of RTP guidelines for young athletes is lacking. We used a protocol intended for the football setting to ensure the athlete was heat tolerant, had adequate physical fitness, and could safely RTP. Despite his EHS, he recovered fully, with no lasting effects, and successfully returned to compete in the final 5 games of the season. ? Using a gradual RTP progression and close monitoring, a high school defensive end successfully returned to football practice and games after EHS. This case demonstrates the feasibility of implementing a safe RTP protocol after EHS and may serve as a guide to ATs working in the high school setting. This case also highlights the need for more research in this area.
机译：还在17岁的高中足球防御末端（高度= 185厘米，质量= 145.5千克），呈现富集热风中风（EHS）后的功能回报（RTP）进展。还患者没有相关的病史，但在EHS发生之前几天搬到了温暖的气候。在温热的下午完成脱季调理试验（14×110 yd [12.6×99.0-m]冲刺后（温度=约34°C [93°​​F]，相对湿度= 53％），病人崩溃了。一个运动训练师（AT）被称为该领域，他发现患者有意识，但表现出中枢神经系统功能障碍。召唤紧急医疗服务并立即将患者运送到医院。还举出的热风中风，发热，担保镰刀，横纹肌和心脏心律失常。还立即将患者运送到医院，他的口腔温度为39.6°C（103.3°F）。他被转移到儿童医院，治疗横纹肌溶解，越野炎和肾功能衰竭。他住院了11天。在医生的许可后，一旦实验室结果标准化，RTP进展就完成了。该方案开始于光活动，并在3周内进入全面的足球实践。在活动期间，在监测患者的胃肠道温度，心率，感知的劳动额定值，液体消耗和汗水损失。还缺乏年轻运动员RTP指南的文件。我们利用旨在为足球设定的协议，以确保运动员具有耐热性，具有充足的身体健康，可以安全地rtp。尽管他的EHS，他完全恢复了，没有持久的影响，并成功回到了本赛季最后5场比赛中的竞争。还使用逐步的RTP进展和密切监测，高中防守最终成功返回了EHS之后的足球实践和游戏。本例展示了EHS之后实施安全RTP协议的可行性，并可作为高中设定的ATS的指南。这种情况还突出了对该领域进行更多研究的需要。

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