创伤后脂肪栓塞综合征1例报告

Moktan, S. Lama, S. Raja
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引用次数: 0

摘要

脂肪栓塞综合征(FES)是一种罕见的临床综合征,主要以骨科创伤后脂肪栓塞引起的体征和症状为特征。它通常发生在侮辱后的12到72小时之间。它有很高的死亡率和发病率。这种致命综合征的诊断主要基于临床表现。目前,管理主要是支持性护理。在此,我们报告一例伴有左上肢和下肢多处骨折的FES患者。由于缺乏金标准诊断测试或病理特征,他符合Lindeque, Schonfield和Gurd的标准。讨论了该病的临床病程以及重症监护病房的管理。
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Post Traumatic Fat Embolism Syndrome: A Case Report
Fat embolism syndrome (FES) is a rare clinical syndrome characterized by signs and symptoms resulting from fat emboli mostly after orthopedic trauma. It usually occurs between 12 to 72 hours after the insult. It has high mortality and morbidity. Diagnosis of this fatal syndrome is mainly based on clinical presentation. At present, management is predominantly supportive care. Here, we report a case of FES in patient with multiple fractures of left upper and lower limb. Given the absence of a gold standard diagnostic test or pathognomonic feature, he fulfilled the criteria by Lindeque, Schonfield and Gurd. The clinical course of the disease as well as the management in the intensive care unit are discussed.
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