21岁孕妇创伤合并无症状脂肪栓塞1例一份病例报告。

Advanced Journal of Emergency Medicine Pub Date : 2019-09-18 eCollection Date: 2020-01-01 DOI:10.22114/ajem.v0i0.254
Niloofar Ayoobi-Yazdi, Faeze Salahshour, Mehran Arab-Ahmadi, Samira Hemati, Mohammad Amiri
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引用次数: 1

摘要

脂肪栓塞综合征(FES)最常与骨科创伤相关,通常在创伤后24-72小时出现典型的三联征。由于下肢静脉系统引起的脂肪栓塞只有少数病例被报道。病例介绍:目前的病例报告提出了一个孕妇谁被转介到我们的急诊科双侧股骨开放性骨折。腹腔超声检测胎儿死亡后,腹腔CT扫描发现右侧髂外静脉脂肪密度区,考虑脂肪栓塞的可能诊断。虽然患者没有表现出FES的体征和症状,但在进一步的评估中证实了脂肪栓塞。结论:综上所述,尽管急诊CT扫描中脂肪栓塞的发现非常罕见,但对创伤后患者下肢静脉系统的评估似乎是至关重要的,因为脂肪栓塞的早期诊断可以帮助临床医生预防FES。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A 21-year-old Pregnant Trauma Patient with Asymptomatic Fat Embolism; a Case Report.

Introduction: Fat embolism syndrome (FES) is most often associated with orthopedic trauma that typically presents 24-72 hours after the trauma with a classic triad. Only few cases of fat embolism due to lower extremity venous system had been reported.

Case presentation: The current case report presents a pregnant woman who was referred to our emergency department with bilateral femoral open fracture. After detecting fetal demise by abdominopelvic ultrasound, an area of fat density in right external iliac vein was detected in abdominopelvic contrast enhanced computed tomography (CT) scan which was considered as the probable diagnosis of fat embolism. While the patient did not show signs and symptoms of FES, the fat embolism was confirmed in further evaluations.

Conclusion: In summary, although detection of fat embolus in CT scan in the emergency department is very rare, evaluation of lower extremity venous system in a posttraumatic patient seems to be crucial because early diagnosis of fat embolism can help the clinicians to prevent FES.

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