Rothmann C, Ruschel N, Streiff R, Pitti R, Bollaert P E
Service d'Accueil des Urgences, CHR de Metz-Thionville, Hôpital Bon-Secours, 1, place P.-de-Vigneulles, 57038 Metz cedex, France.
Ann Fr Anesth Reanim. 2006 Feb;25(2):189-92. doi: 10.1016/j.annfar.2005.07.084. Epub 2005 Nov 2.
A 24-year-old woman undergoes buttock's liposuction as an outpatient procedure. As she went back home, progressive dyspnea, respiratory distress and collapse developed. At hospital admission, she was dyspneic with thoracic oppression, tachycardia and anguish. Chest X-ray and thoracic CT scan suggested a pulmonary localisation of fat emboli. Symptomatic treatment allowed complete recovery. This report discusses diagnosis of fat emboli after liposuction as well as epidemiology and physiopathology.
一名24岁女性接受了臀部抽脂门诊手术。回家后,她逐渐出现呼吸困难、呼吸窘迫和虚脱。入院时,她呼吸困难,伴有胸部压迫感、心动过速和痛苦。胸部X光和胸部CT扫描提示脂肪栓塞的肺部定位。对症治疗后完全康复。本报告讨论了抽脂术后脂肪栓塞的诊断以及流行病学和病理生理学。