By Jeff McDonald, Staff writer | San Antonio Express-News (SAEN), 2025-02-20 16:21:11
由生成式人工智能翻译，译文内容可能不准确或不完整，以原文为准。
Chuck’s Global Stars队的文班亚马（1）在2025年2月16日星期日于旧金山大通中心举行的NBA全明星赛第一场比赛中，在对阵Kenny’s Young Stars队时投篮得分后做出手势。(Jose Carlos Fajardo/Bay Area News Group via AP)
奥斯汀 - 对于圣安东尼奥马刺队以及他们21岁的现象级中锋，文班亚马(Victor Wembanyama)来说，一个既出乎意料又令人沮丧的转折发生了：他被诊断出患有右肩深静脉血栓。
预计这种情况将使他缺席本赛季剩余的比赛。马刺队在周四上午宣布了这一消息，当时球队正在奥斯汀穆迪中心准备与菲尼克斯的比赛。
就在几天前，在上周末在旧金山举行的NBA全明星赛上首次亮相后的几个小时里，文班亚马还站在篮球世界的顶峰。
这位马刺队的明星刚刚证明了自己在联盟最优秀球员中的实力。他准备稍作休息，然后渴望回到NBA赛季的剩余比赛中。
“我会尽量冷静下来，忘记篮球48小时，”文班亚马周日说。“就这样。”
事实证明，文班亚马的休假将持续更长的时间。
文班亚马的病情是在他参加全明星赛后于周一返回圣安东尼奥时发现的。球员们在周四上午在奥斯汀的投篮训练前的一次球队会议上被告知了文班亚马的情况。
对于马刺队来说，这又是令人沮丧的一击。此前，主教练格雷格·波波维奇(Gregg Popovich)在11月初中风后也无限期休假。
“这非常艰难，”控球后卫克里斯·保罗(Chris Paul)说，他是周四上午训练结束后唯一一位接受媒体采访的球队成员。“我认为对我们所有人来说，都知道他对我们球队有多重要，更重要的是，知道他对比赛有多重要，以及他有多热爱比赛。”
深静脉血栓（DVT）是指在静脉内形成血栓。这种情况本身并不被认为是危及生命的，但其并发症可能会危及生命。血栓有可能松动并通过血液流到肺部或大脑。
马刺队的医生们乐观地认为，文班亚马将及时恢复，可以开始下个赛季，并表示他们对他长期的健康状况没有担忧。
乔什·贝尔(Josh Bell)医生是圣安东尼奥TSAOG骨科和脊柱治疗中心的骨科医生。虽然他说他没有直接了解文班亚马的医疗记录，但贝尔向《圣安东尼奥快报》大致谈到了像文班亚马这样的深静脉血栓患者所面临的道路。
2025年1月25日星期六，在巴黎举行的2025年巴黎奥运会NBA篮球赛上半场比赛中，圣安东尼奥马刺队中锋文班亚马（1）在离开球场时庆祝。(AP Photo/Thibault Camus)
“当我们遇到出现血栓的患者时，我们首先要寻找的是血栓发生的原因，”贝尔说。“我们想调查一个合理的理由，以便确定如何解决它，并合理地预测它再次发生的可能性。”
这些原因可能包括最近手术造成的创伤（文班亚马的情况并非如此），或者对胸廓出口综合征等结构问题的遗传易感性。
贝尔说，治疗的第一步通常是抗凝血药物——这种药物会阻止像文班亚马这样的患者在服用血液稀释剂时安全地参加接触性运动。
“患有血栓的患者几乎肯定会在最初的治疗中使用药物数周或数月，”贝尔说。“如果你在服用血液稀释剂的情况下参加NBA比赛，并且，比如说，头部受到撞击，那么你就会面临一个更大的问题。”
患有潜在的胸廓出口综合征（一种血管在锁骨和第一根肋骨之间受到压迫的情况）的患者需要手术来防止血栓复发。
“好消息是，我们在很多运动员身上都看到了这种情况，”加利福尼亚州喷泉谷纪念海岸医疗中心的血管外科医生克里斯托弗·伊(Christopher Yi)医生说，他和贝尔一样，不了解文班亚马病例的具体情况。“他们恢复得很好，并再次在高水平上竞争。”
最近的NBA历史中，有很多球员遭受了与文班亚马类似的疾病，并且大多取得了积极的结果。
克里斯·波什仍然是一个警示故事。
2016年，这位迈阿密热火队的名人堂成员在经历了一次又一次的血栓后被迫在31岁时退役，其中一个血栓进入了他的肺部。
布兰登·英格拉姆(Brandon Ingram)在2019年3月效力于洛杉矶湖人队时被诊断出患有深静脉血栓，并接受了手术切除血栓。在被交易到新奥尔良后，他完全康复并在下个赛季重返赛场。克里斯蒂安·科洛科(Christian Koloko)现在效力于湖人队，在2023年因血栓问题缺席了他在多伦多猛龙队的新秀赛季的一半比赛。他也已经完全康复。
底特律活塞队的奥萨尔·汤普森(Ausar Thompson)在2024年3月因血栓导致他的新秀赛季缩短。他于今年11月重返赛场。
马刺队认为文班亚马的情况更接近于汤普森的情况，而不是波什面临的职业生涯终结的情况。
“文班21岁，”保罗说。“我知道对于我来说，在那个年龄，你无法想象不打球，甚至错过一场比赛或任何类似的事情。所以我认为他会尽可能地投入到康复中。”
文班亚马在旧金山的全明星活动周末没有表现出任何疾病迹象，他在那里参加了繁忙的日程安排。
这位7英尺3英寸的文班亚马本赛季场均得到22.5分、10.8个篮板、3.8次助攻、联盟最高的3.8次盖帽和1.2次抢断，是赢得年度最佳防守球员奖杯的头号人选。
由于他的二年级赛季在46场比赛后结束，文班亚马将无法达到所需的65场比赛门槛，因此没有资格获得该奖项或任何其他联盟奖项，包括NBA最佳阵容的荣誉。
文班亚马的缺席也应该会对马刺队已经希望渺茫的季后赛征程造成灾难性的影响。他们在周四以23胜29负的战绩开启了全明星赛后的赛程，在西部联盟积分榜上排名第12位，现在在最后的30场比赛中失去了他们最好的球员。
“没有人会为我们感到难过，你知道我的意思吗？”保罗说。“事实上，（对手）现在可以进入内线，而看不到文班在那里，他们肯定不会对此感到不满。”
点击查看原文：Victor Wembanyama not alone in NBA in dealing with blood clots
Victor Wembanyama not alone in NBA in dealing with blood clots
Chuck’s Global Stars’ Victor Wembanyama (1) gestures after sinking a basket against the Kenny’s Young Stars during Game 1 of the NBA All-Star Game at Chase Center in San Francisco, Sunday, Feb. 16, 2025. (Jose Carlos Fajardo/Bay Area News Group via AP)
AUSTIN – In a turn of events both unexpected and devastating for the San Antonio Spurs and their 21-year-old phenom center, Victor Wembanyama has been diagnosed with deep vein thrombosis in his right shoulder.
The condition is expected to keep him out for the remainder of the season. The Spurs announced the news Thursday morning, as the team was preparing for game against Phoenix at the Moody Center in Austin.
It was only a few days ago, in the hours after his first appearance at the NBA All-Star game last weekend in San Francisco, Wembanyama was on top of the basketball world.
The Spurs’ star had just finished proving his mettle among the best of the best the league has to offer. He was ready for a quick respite, and then eager to get back to the remainder of the NBA season.
“I’ll try to cool down and forget about basketball for 48 hours,” Wembanyama said Sunday. “That’s it.”
It turns out Wembanyama’s hiatus will last substantially longer than that.
His condition was discovered when Wembanyama returned to San Antonio on Monday following his participation in the All-Star game. Players were informed of Wembanyama’s situation in a team meeting before Thursday morning shootaround in Austin.
It is yet another beleaguering blow for a Spurs team that also saw head coach Gregg Popovich take an indefinite leave of absence after suffering a stroke in early November.
“It’s tough more than anything,” said point guard Chris Paul, the only member of the organization to address the media after the morning walk-through Thursday. “I think for all of us, knowing how much he means to our team, but more so knowing how much he means to the game and how much he loves to play.”
Deep vein thrombosis (DVT) occurs when a blood clot forms within a vein. The condition itself is not considered life-threatening, but complications from it can be. A clot has the potential to loosen and travel through the bloodstream to the lungs or brain.
Spurs doctors are optimistic Wembanyama will be cleared in time to begin next season, and said they have no concerns about his long-term health.
Dr. Josh Bell is an orthopedic surgeon at TSAOG Orthopedics & Spine Treatment Center in San Antonio. Though he said he has no direct knowledge of Wembanyama’s medical chart, Bell spoke generally to the Express-News about the road a DVT patient such as the Spurs star faces.
San Antonio Spurs center Victor Wembanyama (1) celebrates as he comes off the court during the first half of a Paris Games 2025 NBA basketball game against the Indiana Pacers in Paris, Saturday, Jan. 25, 2025. (AP Photo/Thibault Camus)
“When we have patients who develop a blood clot, the first thing we’re looking for is an explanation for why it happened,” Bell said. “We want to investigate a good reason for why, so we can determine how to address it and reasonably predict the chances of it happening again.”
Those reasons can range from trauma stemming from a recent surgery, which is not the case with Wembanyama, to a genetic predisposition to a structural issue such as thoracic outlet syndrome.
The first step in treatment, Bell said, is typically an anti-coagulant medication – an option that would prohibit patients like Wembanyama from safely participating in contact sports while on the blood thinners.
“Patients with a blood clot are almost certainly going to be on medication for weeks or months as an initial treatment,” Bell said. “If you play in an NBA game on blood thinners and, let’s say, get hit in the head, now you’ve got a much bigger issue.”
A patient with an underlying case of thoracic outlet syndrome – a condition in which blood vessels become compressed between the clavicle and first rib – would require surgery to prevent blood clots from returning.
“The good thing is, we see this in a lot of athletes,” said Dr. Christopher Yi, a vascular surgeon at Memorial Orange Coast Medical Center in Fountain Valley, Calif., who like Bell is not privy to the specifics of Wembanyama’s case. “They recover well and go on to compete at a high level again.”
Recent NBA history is rife with players suffering from maladies similar to Wembanyama’s, mostly with positive outcomes.
Chris Bosh remains the cautionary tale.
In 2016, the Miami Heat Hall of Famer was forced to retire at age 31 after a recurring bout of blood clots, one of which made its way to his lung.
Brandon Ingram underwent surgery to remove a blood clot after being diagnosed with DVT in March 2019 while playing with the Los Angles Lakers. He made a full recovery and returned to the court the next season following a trade to New Orleans. Christian Koloko, now with the Lakers, missed half his rookie season in Toronto with a blood clot issue in 2023. He, too, has fully recovered.
Detroit’s Ausar Thompson saw his rookie season cut short by a blood clot in March 2024. He returned to the floor this November.
The Spurs believe Wembanyama’s condition to be closer to Thompson’s than the career-ending situation Bosh faced.
“Vic is 21,” Paul said. “I know for me at that age, you can’t imagine not playing and missing even one game or anything like that. So I think he’ll attack recovery as well as you possibly can.”
Wembanyama displayed no sign of illness over the weekend at the All-Star festivities in San Francisco, where he tackled a busy schedule filled with appearances.
The 7-foot-3 Wembanyama was averaging 22.5 points, 10.8 rebounds, 3.8 assists, a league-best 3.8 blocks and 1.2 steals per game this season and was the top candidate to capture the Defensive Player of the Year trophy.
With his sophomore season over after 46 games, Wembanyama will not reach the required 65-game threshold to be eligible for that or any other league award, including All-NBA honors.
Wembanyama’s loss should also prove cataclysmic in the Spurs’ already long-shot chase for the postseason. They opened the post All-Star portion of their schedule Thursday at 23-29, in 12th place in the Western Conference standings and are now minus their best player for the final 30 games.
“No one is going to feel sorry for us, you know what I mean?” Paul said. “The fact that (opponents) get to go into the lane now and not see Vic in there, they’re definitely not going to be mad about it.”
By Jeff McDonald, Staff writer, via San Antonio Express-News