脑脂肪栓塞综合征早期诊断和预后

Early diagnosis and prognosis in cerebral fat embolism syndrome

目的探讨脑脂肪栓塞早期诊断与预后的关系。方法回顾性地分析了3院9年来脑脂肪栓塞的病人8例,就其临床特征、神经影象学改变及预后进行了探讨。结果8例患者均有不同程度的神经系统受损的症状及体征,头颅CT检查在不同时期均未发现异常改变,4例患者头颅MRI可见长T1,T2改变。6例完全康复,2例死于并发症。结论脑脂肪栓塞早期治疗与预后明显相关,头颅MRI检查可能是最为敏感的检测手段。

Objective: To investigate the connection of early diagnosis with prognosis in cerebral fat embolism syndrome. Methods: We are analyzed regressively 8 cases of the posttraumatic cerebral fat embolism syndrome in three hospitals from 1994 to 2002 years. To investigate their clinical characteristic, neurophotograph and prognosis. Results: In all our sample cases have the nervous system of the different degree the check of injured condition of symptoms and signs, skull CT at not the corresponding period all and not discovers unusually change. Four examples were performed MRI scans. MRI findings lower-intensity T1 and high-intensity T2 signas. 6 examples completely recover from illness, 2 examples die in the complications. Conclusion: The treatment in cerebral fat embolism syndrome earlier period with prognosis the empress obviously related, Brain MRI checked may be most sensitive for the examination means.