脂肪栓塞综合征的早期诊断与治疗

Early Diagnosis and integrated Traditional Chinese and Western Medicine on Fat Embolism Syndrome

目的 :探讨脂肪栓塞综合征早期诊断的意义和方法。 方法 :采用连续检查动脉血氧分压下降情况 ,早期诊断 ,并使用吸氧、地塞米松、丹参注射液和桑白皮汤加减 ,治疗 33例脂肪栓塞综合征。 结果 :33例中 32例抢救成功。 结论 :早期诊断 ,及时处理 ,是救治脂肪栓塞综合征成功的关键。

Objective To explore the significance and methods of early diagnosis on fat embolism syndrome,and to analyse the therapeutic effect of integrated therapy of traditional Chinese and western medicine on the syndrome Me- thods The diagnosis of fat embolism syndrome was established on the basis of the decline of the partial pressure of oxygen in arterial blood in successive chemical examinations.All of the 33 patients with fat embolism syndrome were treated with oxygen inhalation,dexamethasone,red sage for injection and modified decoction of mulberry bark.Results Of all the 33 patients 32 were rescued successfully,and the successful rate was 96.97%.Conclusion Early diagnosis and promptly treatment are the keys to the management of fat embolism syndrome,and a remarkable therapeutic effect could be achieved if integrated therapy of traditional Chinese and western medicine were applied.