运动员Marfan氏综合征的医务监督  

Medical Monitoring of Marfan's Syndrome in Athletes

作　　者：胡小琴[1] 马云[1] 宋卫平[1] 卫雍绩[1] 

机构地区：[1]国家体育总局运动医学研究所体育医院,北京100061

出　　处：《中国运动医学杂志》2004年第4期367-371,385,共6页Chinese Journal of Sports Medicine

摘　　要：目的 :提高教练员和医生对Marfan氏综合征的认识 ,更好地预防运动性猝死。同时为掌握身材高大项目运动员身体形态测量的规律提供参考数据。方法 :通过对 4例确诊和疑似马凡氏综合征运动员从疾病发现、发展变化、死亡、转归过程的阐述、分析 ,提供了对确诊和疑似马凡氏综合征运动员的处理、治疗方案及注意事项。同时对现役国家男、女篮球队运动员进行了包括眼科、骨科、心电图、超声心动图等全面的体检 ,以排查马凡氏综合征。结果提示 :男性运动员主动脉根部大于 60mm、女性大于 5 0mm已具有猝死风险 ,应给予高度重视。篮球运动员臂展 >身高者占4 3 3% ,且男性臂展 /身高 >1 0 3者占 2 0 %。Purpose: To enhance the knowledge of coaches and athletes in respect to the prevention of exercise-related sudden death while to provide the reference data for anthropometric measurement in athletic events required taller stature. Methods: Through the description and analysis of the findings, development, death and prognosis of 4 athletes with diagnosed or suspected Marfan's syndrome, the management, treatment, and precaution for such athletes were suggested in this study. Meanwhile, physical examination, including ophthalmological and orthopedic examinations, electrocardiography and echocardiography were performed for elite players from China national men and women basketball teams in order to exclude the syndrome. Results: (1) High precaution should be paid to the athletes whose diameter of aorta root was greater than 60 mm (for male) and 50 mm (for female); (2) 43.3% of basketball players in this study showed arm span > body height and 20% of male basketball players had the ratio of span/height >1.03.

关 键 词：运动员 MARFAN氏综合征 医务监督 超声心动图 运动医学 马凡氏综合征 先天性心脏病 

分 类 号：R87[医药卫生—运动医学]