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双侧全膝关节置换术后脑脂肪栓塞——病例报告。

Cerebral fat embolism after bilateral total knee replacement arthroplasty -A case report-.

机构信息

Department of Anesthesiology and Pain Medicine, College of Medicine, Ewha Womans University, Seoul, Korea.

出版信息

Korean J Anesthesiol. 2010 Dec;59 Suppl(Suppl):S207-10. doi: 10.4097/kjae.2010.59.S.S207. Epub 2010 Dec 31.

DOI:10.4097/kjae.2010.59.S.S207
PMID:21286442
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3030038/
Abstract

Fat embolism syndrome is a rare and potentially lethal complication most commonly seen in long bone fractures and intramedullary manipulation. The clinical triad of fat embolism syndrome consists of mental confusion, respiratory distress, and petechiae. This study reports a case of cerebral fat embolism syndrome following elective bilateral total knee replacement. After an uneventful anesthesia and initial recovery, the patient developed neurologic symptoms nine hours postoperatively.

摘要

脂肪栓塞综合征是一种罕见且潜在致命的并发症,最常见于长骨骨折和髓内操作。脂肪栓塞综合征的临床三联征包括精神错乱、呼吸窘迫和瘀点。本研究报告了一例择期双侧全膝关节置换术后发生的脑脂肪栓塞综合征。麻醉和初步恢复均无异常,患者在术后 9 小时出现神经症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97de/3030038/6d316ef8770d/kjae-59-S207-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97de/3030038/6d316ef8770d/kjae-59-S207-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97de/3030038/6d316ef8770d/kjae-59-S207-g001.jpg

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本文引用的文献

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Do corticosteroids reduce the risk of fat embolism syndrome in patients with long-bone fractures? A meta-analysis.皮质类固醇激素能否降低长骨骨折患者发生脂肪栓塞综合征的风险?一项荟萃分析。
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Fat embolism syndrome: clinical and imaging considerations: case report and review of literature.脂肪栓塞综合征:临床与影像学考量:病例报告及文献综述
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Emergency management of fat embolism syndrome.脂肪栓塞综合征的急诊处理
Arthroplast Today. 2019 Oct 31;5(4):431-434. doi: 10.1016/j.artd.2019.09.004. eCollection 2019 Dec.
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