23例脂肪栓塞综合征患者的临床及影像学检查

The clinical manifestations and the imaging examinations of 23 patients with fat embolism syndrome

目的 分析脂肪栓塞综合征 (FES)的神经系统表现及其影像学检查 ,以提高对此病的早期诊断 ,减少死亡率。方法 总结 2 3例FES患者的临床及其影像学检查。结果 经治疗后 ,2 3例FES患者中除 1例因呼吸衰竭死亡外 ,其余 2 2例均完全恢复。结论 近期骨折者 ,一旦出现脑部症状 ,要想到FES ,需行进一步的检查。怀疑脑脂肪栓塞者应行头颅MRI检查。

Objective To analyze the neurological manifestations and the imaging examimations the patients with fat embolism syndrome (FES) so as improve the early diagnosis and decrease mortality. Method The clinical manifestations and the related imaging examinations of 23 patients with FES were analyzed. Result 22 cases got complete recovery without any neuro-system sequla. One case died of respiratory failure. Conclusions Once nervous system symptom is observed in the patient with fracture,FES should be considered,and further examinations, such as MRI, should be performed.The patient who was suspected to be suffered from CEF has to take the skull MRI.