脂肪栓塞综合征25例分析

Analysis of 25 cases with fat embolism syndrome

目的 :探讨脂肪栓塞综合征的发病机制、早期诊断指标及治疗措施。方法 :分析 2 5例脂肪栓塞综合征病人的临床表现及诊治过程。结果 :本组中 1例死亡、1例出现脑梗塞后遗症 ,其余均完全康复。中枢神经系统症状和呼吸系统症状的出现率最高 ,分别为 88%和 80 %。结论 :脂肪栓塞综合征的诊治中要重视氧饱和度及动脉氧分压监测 ,注意观察中枢神经系统症状和呼吸系统症状可早期诊断 ,纠正低氧血症为治疗的重点。

Objective: To study the mechanism, early diagnostic criteria and treatment of fat embolism syndrome(FES). Methods: The clinical symptoms, course of diagnosis and treatment in 25 cases with FES were reviewed and analyzed. Results: One died and one got restriction of limb movement because of cerebral infarction. The rest of all recovered smoothly . Conclusion:Close observation of PaO 2 , symptoms of centre nervous system and respiratory system is helpful for early diagnosis . Raising the low level of PaO 2 should be the most important aspect in the treatment.