创伤性脂肪栓塞综合征的临床特征  

The Clinical Characteristic on Traumatic Fat,Embolism Syndrome

作　　者：尹国强[1] 赵春梅[1] 郝绍文[1] 陈伟[1] 

机构地区：[1]宁夏医学院附属医院急救中心,银川750004

出　　处：《临床急诊杂志》2006年第2期55-57,共3页Journal of Clinical Emergency

摘　　要：目的探讨创伤性脂肪栓塞综合征(FES)早期诊断的先兆征象和继发性栓塞于心、肝、肾的临床特征。方法回顾性分析34例 FES 的临床表现,结合文献资料分析研究各种检查阳性结果的临床意义。结果 D-二聚体升高,血色素或红细胞压积进行性降低,血纤维蛋白原升高为 FES 诊断中最敏感的指标,分别为80%、79.4%、76.5%。继发性栓塞于心、肝、肾血清酶学、蛋白尿阳性率依次为89.5%和58%。结论 FES 是存在有多器官损害的一组症候群。检查凝血因子、肺部 CT、脑部 MRI。Objective To study the aura symptoms of early diagnosis fro traumatic fat embolism syndrome（FES） and clinical characteristics after embolized to the heart,liver and kidney. Methods We used the retrospective analysis to analyse clinical symptoms of 34 cases of FES, to study the clinical significance of various examined positive results in combination to literature. Results The most sensitive aspects are D-dimer value raising and hemoglobin or hematocrit value progressingly falling, fibrinogen value was raising in plasma respectively in 80% ,79.45 % ,76. 5 %. The positive rate of enzymolagy examination and albuminnria after embolized at heart, liver , kidney are respectively in 89.5% and 58% in serum. Conclusion FES has many symptoms resulting from multiorgan impairment,it can be diagnosed in early stage by examining coagulation factor,lung CT and brain MRI.

关 键 词：脂肪栓塞 早期诊断 临床特征 创伤性 

分 类 号：R641[医药卫生—外科学]