Lewis Dan, Jones Richard, Carpenter Clare, James Stuart
Department of Trauma and Orthopaedic Surgery, Royal Glamorgan Hospital, Ynysmaerdy, Llantrisant, United Kingdom.
Acta Orthop Belg. 2007 Feb;73(1):137-9.
The authors report an unusual case of a fat embolism following an isolated lumbar vertebra wedge fracture. A 66-year-old gentleman sustained a lumbar wedge fracture following a fall. During routine mobilisation some days later he collapsed suddenly and became unresponsive. Shortly after, he suffered a fatal cardiac arrest. A post-mortem was performed which attributed the cause of death to fat embolism. Most previously reported cases of fat embolism are associated with long bone fractures and major bony surgery. No apparent case of fatal fat embolism following an isolated vertebral fracture has previously been described.
作者报告了一例孤立性腰椎楔形骨折后发生脂肪栓塞的罕见病例。一名66岁男性在跌倒后发生腰椎楔形骨折。几天后在常规活动期间,他突然晕倒且失去意识。不久后,他发生致命的心脏骤停。进行了尸检,将死亡原因归因于脂肪栓塞。先前报道的大多数脂肪栓塞病例与长骨骨折和大型骨手术有关。此前尚无孤立性椎体骨折后发生致命性脂肪栓塞的明显病例描述。