骨折并发脂肪栓塞综合征16例的诊治分析  

Diagnosis and treatment of 16 cases of fat embolism syndrome post fracture

作　　者：刘宇杰[1] 刘雅玲[1] 

机构地区：[1]郑州市第三人民医院骨科,河南省郑州450000

出　　处：《中国基层医药》2006年第9期1483-1484,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的分析严重骨折及骨折术后并发脂肪栓塞综合征(FES)的诊断及治疗方法。方法1990年1月至2004年12月收治骨折并发FES病例16例:股骨骨折7例,胫腓骨骨折4例,多发性骨折3例,股骨颈骨折2例。采用有效制动、早期大剂量激素等综合方法支持治疗。结果16例均完全清醒,各项生命体征恢复正常。结论预防是重点,早期诊断、早期有效治疗是降低FES死亡率的关键。Objective To explore the diagnosis and treatment of fat embolism syndrome past fracture（FES）. Methods From January 1990 to December 2004,16 cases of FES post fracture were treated including 7 cases of post femoral fracture;4 post tibia and fibular fracture;3 post multisegmental fracture;2 post femoral neck fracture. The treatment involved effective restriction of movement and the early use of large doses of dexamethasone. Results All 16 cases regained full consciousness with normal life sides, early diagnosis and effective treatment is the key to symptoms. Conclusion Prevention is very important. Bereduce the death rate from FES.

关 键 词：骨折/并发症 栓塞 脂肪 综合征 

分 类 号：R683[医药卫生—骨科学]