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Sudden Cardiac Death of a 17-Year-old Girl: a Case Report

机译:一个17岁的女孩的突然心脏死亡:案例报告

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A 17-year-old high school girl was moderately active in a leisure sport group. A few seconds after being hit lightly on the abdomen by sport ball, she collapsed, became unconscious and suffered respiratory arrest. A teacher carried out basic life support immediately. A team of ground-based and airborne rescue crew identified the return of spontaneous circulation (ROSC) after 50 minutes. On the third day after the event, the patient died of cerebral edema as a result of circulatory arrest. Autopsy and additional investigations showed hypoxemia of brain and signs of shock in vital organs. In addition, evidence of cardiac manifestation of infection with parvovirus B19 was found. Conclusions Provision of identical extensive medical care in recreational sports as in professional sports would be highly expensive. Symptomatic therapy, therefore, during medical emergency situations in this area is of great importance. The main focus should be on a functioning rescue chain with high quality of initial measures and follow-up as well as sufficient resuscitation performed by laymen and supported by the rescue control center by telephone.
机译:一个17岁的高中女生在休闲运动组中适度活跃。在通过运动球轻轻击中腹部撞击后几秒钟,她崩溃了,变得无意识和呼吸逮捕。老师立即进行基本的生命支持。一个地面和空中救援人员团队确定了50分钟后自发循环(ROSC)的返回。在事件发生后的第三天,患者因循环停止而死于脑水肿。尸检和额外的调查显示大脑的低氧血症和重要器官休克症状。此外,发现了对Parvovirus B19感染的心脏表现的证据。结论在职业运动中提供相同的广泛医疗,以职业运动为高度昂贵。因此,对症治疗,在这一领域的医疗紧急情况下非常重要。主要重点应在具有高质量的初始测量和后续措施和后续行动的功能救援链上以及由行李箱进行的充分复苏,并通过电话支持救援控制中心。

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