By Eric.Fritts | Pounding The Rock (PtR), 2025-02-23 03:00:00
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。
深静脉血栓 (DVT) 听起来很可怕，它到底意味着什么？未来是否需要担忧？
任何以“赛季报销”结尾的伤病报告，对球迷来说都是最糟糕的消息。当伤者是球队的当家球星时，这种打击更是毁灭性的。考虑到球员的年龄、伤病的性质以及受伤的方式，这种打击可能会加剧。对于文班亚马(Victor Wembanyama)和他的血栓来说，这意味着整个马刺球迷群体都会倒吸一口凉气，并感到焦虑。
深静脉血栓，简称DVT，是官方的诊断结果。单从字面上看，这是一个令人恐惧的术语，主要是因为它很长，而且几乎没有人知道它意味着什么。快速搜索一下，会发现它是一种血栓——这同样是一个令人不安的术语，主要是因为它很短，而且大多数人都知道它意味着什么。
血栓是很严重的。因此，对这个问题感到担忧是理所当然的。即使是对于普通体型的人来说，当涉及到任何心血管问题时，也会感到非常恐惧。而当考虑到文班亚马作为巨人中的巨人的独特身材时，这种恐惧感就会被放大。根据美国国立卫生研究院国家医学图书馆中托马斯·萨马拉斯(Tomas Samaras)的大量论文显示，身材较矮的人在预期寿命方面确实具有优势。这是因为他们的心脏需要较少的努力来完全循环血液，血液循环的距离更短。自然地，这意味着身材较高的人会处于劣势。由于心脏的大小和力量与身体的其余部分并不成正比，他们仍然有更多的血液需要泵送，并且需要推动更远的距离。
综上所述，现代医学对此有何看法？真正的伤病是什么？它意味着什么？
从根本上讲，DVT是指深静脉中的血栓，在文班亚马的情况下，血栓位于肩部。通常可以在经常将手臂举过头顶的运动员身上发现。医学博士布莱恩·萨特(Brian Sutterer)在他的 YouTube 频道这里给出了一个很好的分解，可以更深入地了解。正如萨特博士所提到的，治疗方法是血液稀释药物，并可能最终进行手术以减轻该区域的压迫。
除了治疗之外，这对未来意味着什么？
正如许多人所指出的，这与现任猛龙前锋布兰登·英格拉姆(Brandon Ingram)在 2019 年所面临的诊断结果相同。注册运动教练，或许也是最广泛的运动损伤数据库的管理者杰夫·斯托茨(Jeff Stotts)，在他的网站instreetclothes.com上写了当时英格拉姆的预后。
英格拉姆现在很可能会接受检查，以确定 DVT 是否是先前未诊断出的遗传疾病的结果。遗传性凝血障碍会使英格拉姆容易再次发生 DVT 或潜在的[肺栓塞]。
静脉血栓栓塞的发展也可能与解剖学上的撞击有关，这种情况常见于患有胸廓出口综合征 (TOS) 的人。TOS 在本赛季早些时候进入了篮球词典，当时 2017 年 NBA 选秀的状元马凯尔·富尔茨(Markelle Fultz)被诊断出患有这种疾病。在这些情况下，可能需要手术来消除问题的根源。
目前还没有什么是可以保证的。前全明星球员克里斯·波什(Chris Bosh)在与反复出现的血栓作斗争后被迫提前退役，尽管他从未被诊断出患有 TOS 或遗传性疾病。
英格拉姆在接下来的赛季获得了进步最快球员奖。
因此，虽然诊断结果令人担忧，但也有一些令人振奋的好消息，那就是它被及早发现。血栓有可能发展成肺栓塞，这是一种血栓移动并阻塞血液流向肺部的疾病。马刺现在发现这一点，不仅对文班亚马的职业生涯至关重要，而且可能对他的生命也至关重要。
正如萨特博士在他的视频中评论的那样，“这可能是一个具有挑战性的诊断。这是一个非常罕见的诊断。因此，绝对要赞扬马刺的医疗团队能够在它造成任何其他重大并发症之前发现它。”
考虑到所有因素，球迷们感到担忧是可以理解的，但令人鼓舞的是，在 NBA 中有经过验证的康复和成功的记录。从更大的角度来看，请注意运动医学已经取得了多大的进步。ACL 撕裂和跟腱断裂不再意味着职业生涯的终结。鹈鹕后卫 CJ·麦科勒姆(C.J. McCullum)曾两次肺塌陷，但能够完全康复并继续他的 NBA 职业生涯。因此，虽然不应轻视文班亚马的 DVT，但球迷们在展望未来时应该保持总体积极的态度。
点击查看原文：A deeper dive into Victor Wembanyama’s diagnosis
A deeper dive into Victor Wembanyama’s diagnosis
DVT sounds scary, what does it actually mean and is there cause for concern going forward?
Any injury report that ends with some variation of the words “out for the remainder of the season” is the worst for any fan to come across. It’s even more devastating when it’s the face of the franchise. That devastation then has the potential to compound when taking into account the player’s age, the nature of the injury, and how it was suffered. For Victor Wembanyama and his blood clot, that meant a lot of gasps and anxiety throughout the Spurs fanbase.
Deep vein thrombosis, or DVT, is the official diagnosis. On its own, that’s a frightening term, mainly because it’s a big word and nearly no one knows what it means. Some quick googling, reveals it’s a blood clot — also an unsettling term, mainly because it’s a small word and most people do know what it means.
Blood clots are serious. Therefore, trepidation around the issue is warranted. Even for the average-sized person, it’s genuinely frightening when talking about anything cardiovascular. This fear is then augmented when considering Wembanyama’s unique stature as a giant among giants. According to numerous papers by Tomas Samaras found in the NIH’s National Library of Medicine, shorter people do have an advantage in terms of life expectancy. This is due to their hearts requiring less effort to fully circulate their blood, it has a shorter distance to go. Naturally, this means that taller individuals find themselves at a disadvantage. With heart size and strength not being directly proportional to the rest of the size, they still have more blood to pump and farther to push it.
All that being said, what is modern medicine saying? What is the actual injury, and what does it mean?
On a basic level, DVT is a blood clot in a deep vein, and in Wembanyama’s case, in the shoulder. A lot of times it can be found in athletes who frequently use their arms over their heads. Dr. Brian Sutterer M.D. gives a great breakdown on his YouTube channel here for a more in-depth look. As Dr. Sutterer mentions, treatment for this will be blood thinning medication and possibly an eventual surgery to relieve compression in the area.
Beyond treatment though, what does this mean going forward?
As many have noted, it is the same diagnosis current Raptors forward, Brandon Ingram, found himself with in 2019. Certified Athletic Trainer and keeper of perhaps the most extensive sports injury database, Jeff Stotts, wrote about Ingram’s prognosis at the time on his site instreetclothes.com.
It is likely that Ingram will now be tested to determine if the DVT was the result of a previously undiagnosed genetic disorder. A hereditary disorder for clotting would leave Ingram vulnerable to developing another DVT or potential [Pulmonary Embolism].
Venous thromboembolism development can also be linked to an anatomical impingement often seen in individuals suffering from thoracic outlet syndrome (TOS). TOS entered the basketball lexicon earlier this season when Markelle Fultz, the top pick in the 2017 NBA draft, was diagnosed with the condition. In these cases, surgery may be warranted to remove the root of the problem.
Still nothing is guaranteed at this point. Former All-Star Chris Bosh was forced into an early retirement after battling recurring blood clots despite never being diagnosed with TOS or a hereditary disorder.
Ingram would go on to win Most Improved Player the following season.
So while the diagnosis is concerning there is some resounding good news, in that this was caught early. Blood clots have the potential to develop into pulmonary embolisms, a condition where the clot moves to block blood going to the lungs. The Spurs catching this now is crucial not only to Wembanyama’s career but possibly his life.
As Dr. Sutterer remarks in his video, “This can be a challenging diagnosis. It’s a very rare diagnosis. So absolute props to the Spurs medical staff for catching it before it caused any other significant complications.”
Taking everything into account, it’s fair for fans to be concerned but it should be encouraging there is a proven record of recovery and success in the NBA. Looking at the even bigger picture, make note of just how far sports medicine has come. Torn ACLs and Achilles Tendons are no longer career enders. Pelicans’ guard C.J. McCullum suffered a collapsed lung twice and was able to fully recover and continue with his NBA career. So while this DVT is not to be taken lightly for Wembanyama, fans should have an overall positive outlook when peering onto the horizon.
By Eric.Fritts, via Pounding The Rock