Huber-Lang M, Brinkmann A, Straeter J, Beck A, Gauss A, Gebhard F
Department of Trauma, Hand and Reconstructive Surgery, University of Ulm Medical School, Steinhoevelstr. 9, 89075 Ulm, Germany.
Anaesthesia. 2005 Nov;60(11):1141-3. doi: 10.1111/j.1365-2044.2005.04358.x.
A multiple-injured patient developed a very early onset fulminant fat embolism syndrome that was partially masked by haemorrhagic shock. Despite early diagnosis by transoesophageal echocardiography and aggressive symptomatic treatment, there was a rapid evolution to death. Post mortem examination revealed the presence of both pulmonary and systemic fat emboli. This case highlights the ever present risk of masked fat embolism syndrome shortly after trauma.
一名多发伤患者出现了非常早期的暴发性脂肪栓塞综合征，该综合征部分被失血性休克所掩盖。尽管通过经食管超声心动图早期诊断并进行了积极的对症治疗，但病情仍迅速发展至死亡。尸检发现存在肺脂肪栓塞和全身脂肪栓塞。该病例凸显了创伤后不久隐匿性脂肪栓塞综合征始终存在的风险。
