By Lily O’Neill, Staff Writer | San Antonio Express-News (SAEN), 2026-04-23 07:00:11
周二，在圣安东尼奥弗罗斯特银行中心举行的圣安东尼奥马刺队与波特兰开拓者队的NBA季后赛首轮第二场比赛上半场，马刺队前锋维克托·文班亚马 (Victor Wembanyama) (1) 头部撞在球场上。他在进入NBA脑震荡保护协议后缺席了余下的比赛。
一位圣安东尼奥的神经内科医生乐观地认为，文班亚马在周二晚上的比赛中遭遇脑震荡后，最快可能在1到3天内康复。
文班亚马正在经历联盟的多步骤复出流程。在对阵波特兰的季后赛首轮第二场比赛中，他在第二节的一次重摔被迫离场。这位马刺球星在上半场一次突破篮下时被朱·霍勒迪 (Jrue Holiday) 犯规，随后下巴重重着地。
根据NBA脑震荡保护协议，文班亚马最早可以接受重新评估并复出的时间是确诊后的48小时。随后，他必须通过一系列基准医学测试才能获准复出。根据NBA伤病追踪数据，球员在脑震荡协议中停留的平均时长为一周到10天。
我们采访了大学健康中心 (University Health) 神经重症监护室医学主任、德克萨斯大学圣安东尼奥健康科学中心 (UT Health San Antonio) 神经重症监护科主任阿里·塞菲 (Ali Seifi) 博士，以深入了解运动相关脑震荡：
问： 您如何评价文班亚马脑震荡的严重程度？
答： 大脑就像头骨里的果冻。每当头骨受到撞击，那块“果冻”就会开始晃动，这种晃动就是脑震荡。我不能直接评价（文班亚马的）情况，因为我不是他的主治医生，但我看到他的面部和右太阳穴撞到了地板上。在那之后，我看到他能说话，这是一个好迹象，因为他没有昏迷。当然，我没有看到他离场后发生了什么。大多数脑震荡患者会在1到3天内康复，目前看来，这种情况很有可能发生。
问： NBA脑震荡协议要求的复出流程包括哪些内容？
答： 通常情况下，如果脑震荡发生在对抗性运动中，会有强制要求在最初的48小时内离开赛场。在最初的24小时内，他们将接受监测和测试。第一天，他们必须进行一些轻松的散步和日常活动。第二天将进行一些静止性活动。逐渐地，在6到7天后，如果他们没有出现头痛、恶心、癫痫、虚弱和视力变化等症状，那么两名医生（一名来自NBA，一名来自外部）应批准他们重返赛场。这名球员将至少缺席48小时。
周二，在圣安东尼奥对阵波特兰开拓者队的NBA季后赛首轮第二场比赛上半场，文班亚马在一次重摔后坐在地板上。他被诊断出患有脑震荡。
问： 为什么这项协议很重要？
答： 对于普通大众来说，这很重要，因为如果有人（甚至是学校里打球的孩子）在第一次脑震荡后的48小时内再次遭遇脑震荡，这可能会对大脑产生严重影响。皮层和大脑的神经及神经元有受损的风险。为了避免这种情况，等待至少48小时是安全的。
问： 脑震荡会产生哪些长期影响？
答： 如果一个人在有时间间隔的情况下多次发生脑震荡，通常不会对大脑造成永久性影响。然而，如果有人处于每月大脑都会反复发生脑震荡的情况下，那可能会对大脑产生长期影响，涉及患者的记忆和情绪。人们可能会变得更加焦虑、抑郁或神志恍惚。这就是为什么为了每位球员的健康，建议至少等待两天，以避免这些长期影响。
问： 与NFL（美国职业橄榄球大联盟）相比，你认为NBA球员进入脑震荡协议的频率如何？
答： NFL的脑震荡案例比NBA多得多。根据统计数据，NFL每个赛季会多出数百起脑震荡，大约在500起以上。对于NBA，相关研究较少，因为数量非常低，每个赛季可能只发生一两起。橄榄球比篮球更具对抗性和侵略性。对于（文班亚马）来说，他没有撞到别人的头。他的头撞到了地板上，这很不幸。
篮球场是硬木地板，冲击力很大，尤其是当你奔跑时头部着地。此外，如果你从更高的高度摔下来，受到的冲击力会更强。
问： 关于这一流程或一般的运动相关脑震荡，您有什么想对马刺球迷说的吗？
答： 我们祝愿文班亚马早日康复，如果有需要，我们很乐意提供帮助。大学健康中心和德克萨斯大学圣安东尼奥分校的所有医生、临床医生和医护人员都热爱马刺队，并为之感到自豪，尤其是对（文班亚马）。对于那些想要成为职业球员的青少年观众来说，保持谨慎是件好事。对于家长来说，如果你的孩子发生了脑震荡，请遵循协议，不要恐慌。脑震荡没有特殊的治疗方法或药物。你能做的最好的事情就是休息。睡眠对脑震荡患者并没有坏处，不像许多人认为的那样。如果大脑得到休息，恢复效果会更好。如果你担心，可以每隔一两个小时轻轻唤醒他们，确保他们没事。
如果他们感到恶心、呕吐、出现癫痫或异常抖动、头痛加剧或瞳孔放大，请寻求医疗救助。否则，他们可以在家康复。
由生成式 AI 翻译，译文内容可能不准确或不完整，以原文为准。
点击查看原文：Neurologist explains sports-related concussions after Wemby fall
Neurologist explains sports-related concussions after Wemby fall
San Antonio Spurs forward Victor Wembanyama (1) hits his head on the court Tuesday during the first half of Game 2 of a first-round NBA playoff series between the San Antonio Spurs and the Portland Trail Blazers at Frost Bank Center in San Antonio. He sat out the rest of the game after entering the NBA’s concussion protocol.
A San Antonio neurologist is optimistic that Victor Wembanyama could recover in as soon as one to three days after suffering a concussion during Tuesday night’s game.
Wembanyama is going through the league’s multistep process for returning to the court after a hard fall in the second period that forced him from Game 2 of the team’s first-round playoff series with Portland. The Spurs star landed hard on his chin after being fouled by Jrue Holiday while driving to the basket in the first half.
Under the NBA’s concussion protocol, the soonest Wembanyama can be reevaluated for returning to play is 48 hours after his diagnosis. He then has to pass a series of benchmark medical tests before being cleared to return. According to NBA injury tracking data, the average length of time for a player to spend in concussion protocol is a week to 10 days.
We spoke with Dr. Ali Seifi, medical director of the Neuro-ICU at University Health and division chief of neurocritical care at UT Health San Antonio, to get more insight on sports-related concussions:
QUESTION: How severe would you categorize Wembanyama’s concussion?
ANSWER: The brain is like Jell-O inside the skull. Whenever you have a hit to the skull bone, that Jell-O starts to shake, and that shaking is a concussion. I cannot comment on (Wembanyama’s) situation directly because I am not his doctor, but I saw he hit his face and his right temple on the floor. After that, I saw he was able to say something, which is a good sign because he didn’t pass out, but of course, I did not see what happened when he got off the court. Most concussion patients recover within one to three days, and it seems likely the same could happen in this scenario.
Q: What does the NBA concussion protocol’s required return-to-participation process entail?
A: Usually, if the concussion happened during a contact sport, there is a mandatory requirement to be off the court for the first 48 hours. In the first 24 hours, they will be monitored and have tests done. The first day, they have to do some casual walks and daily activities. Then the second day will be some stationary activities. Gradually, after six to seven days, if they have no symptoms, like headache, nausea, seizures, weakness and changes in the eyes, then two physicians, one from the NBA and one from outside, should approve them to return to the games. This player will be out for at least 48 hours.
Victor Wembanyama sits on the court Tuesday after taking a hard fall during the first half of Game 2 of a first-round NBA playoff series against the Portland Trail Blazers in San Antonio. He was diagnosed with a concussion.
Q: Why is this an important protocol?
A: For the general public, this is important because if someone, even kids playing at school, gets another concussion within the first 48 hours of the first, this could lead to a severe impact on the brain. There’s a potential that the nerves and neurons of the cortex and the brain can be damaged. To avoid that, it’s safe to wait at least 48 hours.
Q: What long-term impacts can a concussion have?
**A:**If somebody has multiple concussions in a row with space in between, usually it does not impact the brain permanently. However, if someone is in a scenario where there are recurrent concussions to the brain monthly, that can have a long-term impact on the brain, as far as the memory and mood of the patient. People can become more anxious, depressed or foggy. So that’s why, for the sake of each of these players, the recommendation is to wait at least two days to avoid these long-term impacts.
Q: How often do you believe players go into the NBA concussion protocol compared with the NFL?
A: The NFL has many more concussions than the NBA. Based on the statistical data, there are hundreds more concussions per season in the NFL, like approximately 500-plus. For the NBA, it’s less studied because numbers are really low and happen one or two a season. Football is more of a contact sport and more aggressive than basketball. For (Wembanyama), he didn’t hit someone else’s head. His head hit the floor, which was unfortunate.
Basketball courts are like hardwood floors, which can have a high impact, especially if you’re running and hit your head. Also, if you fall from a higher height, you’re going to have a harder impact.
Q: Is there anything you want to tell Spurs fans about the process or sports-related concussions in general?
A: We wish Wembanyama a speedy recovery and will be happy to help if needed. All the physicians, clinicians and health care workers at University Health and the University of Texas San Antonio love the Spurs and are very proud, especially of (Wembanyama). For the younger kids watching who want to be professionals, it’s good that they consider being cautious. For parents, if your child has a concussion, follow the protocol and don’t panic. Concussions don’t have a special treatment or medication. The best thing you can do is rest. Sleep is not bad for concussion patients, as many people think. If the brain rests, it has a better recovery. If you’re worried, you can gently wake them up every one to two hours to make sure they’re OK.
Seek medical attention if they’re nauseous, throwing up, have seizures or abnormal shaking, worsening headaches or their pupils enlarge. Otherwise, they can recover at home.
By Lily O’Neill, Staff Writer, via San Antonio Express-News