脂肪栓塞综合征早期诊断与救治中有关问题探讨

Investigation of the Associated Problems of Early Diagnosis and Treatment of Post-traumatic Fat Embolism Syndrome

目的:探讨创伤后脂肪栓塞综合征的首发症状与主要临床表现,分析各项临床监测指标,提高该综合征的诊疗水平。方法:通过观察27例创伤后脂肪栓塞综合征的首发症状与主要症状,结合患者临床监测指标的变化,确定该综合征的早期诊断指标与治疗方案。结果:严重创伤、多发骨折的患者脂肪栓塞综合征发生率高,早期多以无诱因高热、呼吸困难、意识障碍为首发症状,血氧分压、血氧饱和度、血色素及红细胞压积早期常呈进行性下降。结论:通过对脂肪栓塞综合征的早期诊断而进行早期治疗,有效地提高了该综合征的治愈率。

Objective:To investigate the initial symptom and main clinical manifistation.and analyze all clinical monitoring indexes, to improve the cure rate of this disease. Method:Through observing the initial symptom and main clinical manifistation, combine together all clinical monitoring index,early diagnosis indexes and treatment were confirmed. Result:The rate of fat embolism syndrome in the patients with serious wound and multiple fractures was high. No cause hyperpyrexia, dyspnea without chest injury and consciousness disturbance without cerebral injury often were the initial symptom in early period. The decline in partial pressure and saturation of blood oxygen, hemoglobin and increased erythrocyte sedimentation rate in the blood could be the early diagnostic indexes of post-traumatic fat embolism syndrome. Conclusion: We can increase the cure rate of the fat embolism syndrome by early diagnosis and early treatment.