[Post-traumatic stroke due to fat embolism].

Revue medicale de Liege Pub Date : 2024-07-01
Marion Paquay, Pierre Goffin, Michelle Yerna, Pascal Marchetti
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Abstract

Fat embolism syndrome mainly occurs following trauma to the long bones or pelvis. Non-traumatic causes are rarer. Its incidence varies greatly and depends on the number of fractures involved. Two physiopathological theories, one mechanical and the other biochemical, attempt to explain this still poorly understood phenomenon. The complete form of the syndrome results in a combination of pulmonary involvement, neurological disorders and a petechial rash. Given the polymorphism of signs and symptoms, Fat embolism syndrome remains a diagnosis of exclusion. Regarding treatment, the therapeutic strategy combines treatment of the causative process with conservative measures.

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[脂肪栓塞导致的创伤后中风]。
脂肪栓塞综合征主要发生在长骨或骨盆受到创伤之后。非外伤性原因则较为罕见。其发病率差异很大,取决于涉及骨折的数量。有两种生理病理理论,一种是机械理论,另一种是生物化学理论,试图解释这种至今仍鲜为人知的现象。完全型综合征会导致肺部受累、神经系统紊乱和瘀斑性皮疹。鉴于症状和体征的多态性,脂肪栓塞综合征仍是一种排除性诊断。在治疗方面,治疗策略是将致病过程的治疗与保守措施相结合。
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