х杩ㄤ璁╀汉诲锛

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?绾ゥ杩浼绁ョ

涓杩锛煎蹇цㄨ轰澶锛浜轰滑杩ㄧ浼间ㄥ涓椤硅ユ剧ず锛浠2008骞村2012骞达绡妫瓒崇杩ㄧ榫瀛╁锛6~17宀锛浜惧涔濡浣瑙寰杩绉澶у锛ｄ锛寸杩ㄥご稿宠烘缁璁★杩1/4瀹堕垮凡缁ㄨ涓璁╄繁瀛╁浣茶ㄣ[1]ㄥｄ藉ㄧ杩ㄢ涔灏辨涔杩ㄢ涓戒瀹ㄣ变ㄤ腑涓浼わ韬戒辨浜х㈡у浼ゆц锛杩绉椋╂汉涓挎垮

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㈡у浼ゆц锛Chronic Traumatic Encephalopathy锛绠绉CTE锛锛椤惧涔锛瀹棣绉ㄧ剧锛舵卞浼ゅ璧风锛杩绉浼よ㈡х锛＄绐舵т浠躲

浠氨ヨ璇磋ㄣ骞冲璁猴浜轰姣釜ㄥ藉瑕ゅ浠ユ垫＄传澶绾匡榻胯藉纾ㄧ┿充娇灏捐风澶浣ㄥ锛涔涓寤鸿棰叉уゃ涓杩锛涓ㄥ颁骞朵骞崇锛ㄥ浜濂藉涓瀛锛璁虹锛ㄦ澶锛璁哄斤ㄦ瑕锛璁虹绌跺锛存绁缁绉村扮惧勾[2]杩灏变娇寰充ㄩ绉瀛绱㈠甯告叉锛寰澶涔浠ヤ负甯哥缁璁猴藉ㄤ涓灏辫扮绌剁缈讳姣濡姝讳骸哄讹涓村涓姝讳骸姝讳骸浠ュ璁や负锛朵ㄥ琛扮杩绱锛瀵艰磋缂烘哀缂鸿锛涓ц姝㈠伐浣锛扮绌跺存剧ず锛瀹芥版扮稿ㄤ富ㄧ朵ㄥ涓杈句姝讳骸浠わ寮瀵间汉浣瀹姝讳骸杩绋[3]

浜虹ㄧ辨板浜夸釜绁缁缁锛璋浜轰裤层琛拌锛宸浜轰缁淬杩剁蹇寮虹剁缉ㄣ灏界浣瑙涓拌绉讹浣瀹灏卞ㄩｉ锛涓绂讳寮杩浜澶藉椤昏濡ュ缁淇わ杩浜缁浠ュ涓哄澶涓らㄥ

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涓杩锛姝ｆ璋浜哄惰绌封灏界ㄧ淇ゅО杩濂杩逛涓锛褰轰扮浼よ烘涓讹瀹涔戒负浼ゆ浼ょ涓绉锛舵哄朵富瑕涓ょ锛涓绉浣ㄤご浣块楠ㄥ锋楠ㄦ锛杩绱拌缁缁锛涓绉稿锛澶撮ㄥㄩ澶涓楠ㄥ稿杩棰楠ㄧ涓涓姝ｅ父锛藉寸变х★虹纰

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㈡у浼ゆц涓浜

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冲绘绌缃榛寰仿烽块鹃挎蹇甯妫

绌剁涓繁ヤ互绌舵娈电涓锛瀛浠锛″苟涓绉涓杩х介纰锛ㄥㄩ″虹缁瑰锛濡绁缁绾跨浣杞寸胯锛娑蹭腑涔拌纰便剧瀛楂绛颁1984骞达缇借ㄥ诲绌惰杩ㄥ轰甯稿浣搴楂棰娆＄＄О涓鸿ㄧ稿虫ц★SportsRelated Cerebral Concussion锛 SRCC锛锛浠ュ哄父瑙涓(Cerebral Concussion锛CC)涔涓锛浼间濡涓ラ锛姣濡甯镐浼虹涓уけ绛讹涓杩锛浠胯锛瀹浼瀵艰翠弗绁缁浼わ寮璧峰涔璁板归㈢纰[8]

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㈡у浼ゆц锛CTE锛

?璐灏肩孤峰ゥ椹荤

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姝ｅ涓Tau锋濡姝ら瑕浣ｄ锛Tau寮甯歌杩搴７稿卞灏辨煎涓ラ灏ゅ舵扮绌惰〃Tau藉浠ョ┛杩绐瑙颁缁娴烽┈猴骞惰涓姝ヤ颁捣椹绯荤恒涓澶虹寮甯革介娓╂ｏ瀵艰村ㄨ寮甯搞[12]

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?瀛瀵规浜璁澶锛扮己涔荤肩跨杩姣虹浼ょ跨澶锛涓浜瀛璁や负澶稿ぇ杩ㄩ瀹虫虹[14]绗璧杩涓瑙癸澶撮ㄦ浼ょ遍╂у涓ラ绋搴充堕″己搴跨灏涓舵蹇цㄥ介浼わ涓濡蹇ヨ绛寮璧风楹荤褰讹ㄨㄦ讹瀹堕裤甯缁涓瀹瑕娉ㄦ瀛规寮哄害锛姣濡瑕插跨浠ユ纭濮垮垮瀵瑰ご锛瀛╃ㄩ楠ㄨЕ锛╃ㄩㄨ跺ごㄥㄤ锛跺╃ㄨ韩浣韬共涓ごㄣ棰ㄧ杩浠ユ澧澶撮ㄥ诲诲锛浠澶撮ㄧ搴[15]讹瑕璀浠讳杩ㄥ虹澶寸讹蹇瑕跺璇ュ婚㈣琛妫ャ

1锛Steven,R.(2015,December 22).Parents,Stop Obsessing Over Concussions.The New York Time.Retrieved July 1,2015,from www.nytimes.com

2, 蹇璇. 绁缁绉[J]. 绗 l . 浜: 绉瀛虹绀, 2000锛1

3, Tanya,Lewis&Staff,Writer.(2015,April 6).Near-Death Experiences: What Happens in the Brain Before Dying.livescience.Retrieved July 1,2015,from www.livescience.com

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5, 璧靛, ㄥ. Tau 借搴７稿寸哄跺跺ㄥ浼ゆц浼や腑浣[J]. 绉瀛灞, 2014, 45(3): 213-216.

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7, Omalu B I, Bailes J, Hammers J L, et al. Chronic traumatic encephalopathy, suicides and parasuicides in professional American athletes: the role of the forensic pathologist[J]. The American journal of forensic medicine and pathology, 2010, 31(2): 130-132.

8, 绁, 浜缓浜, 璁稿拌, 绛. 杩ㄧ稿虫ц＄绌剁[J]. 涓借ㄥ诲蹇, 2006, 25(4): 502-504.

9, 辨.锛2011 August12锛.㈡у浼ゆц锛璧虹‖姹澶村. 涓娲诲ㄥ.Retrieved July 1,2015,from www.lifeweek.com

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13锛Karantzoulis S, Randolph C. Modern chronic traumatic encephalopathy in retired athletes: what is the evidence?[J]. Neuropsychology review, 2013, 23(4): 350-360.

14, Fitzgerald S. Is There Too Much ObsessingWith Concussion? One Neurologists Says Yes in New York Times Op-Ed; Not Everyone Agrees[J]. Neurology Today, 2016, 16(3): 10-11.

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