脂肪栓塞综合征──附19例报告

Fat Embolism Syndrome :A Report of 19 cascs

脂肪栓塞综合征（简称ＦＥＳ）是创伤或骨折的严重并发症，死亡率高。通过对１９例临床观察分析及复习文献。提出对本征诊断有重要意义的４项标准：（１）“暴风雪”样肺片；（２）皮肤或粘膜有出血点；（３）低氧血症；（４）血小板减少，并认为应用高压氧治疗本征是一种有效的方法。

at emboilsm syndrome (FES)is a severe complication with pathological cbanges in lung and braincaused by severe fracture of long bone or plevis. It always results in dyspnea ,coma and laboratorychanges. The mortality is high. Four diagnosic criteria are suggested in this paperi:①Snowstormlikex-ray films in chest.②petechial rash in skin and mucius.③arterial hypoxia,and④thrombocytopenia.With the assistance of experimental observation and clinical analyses, the authors believed that hyper-baric oxygen(HBO)might be an effective therapy for FES.