School of Nursing, University of North Carolina at Charlotte, 28223-4799, USA.
Am J Crit Care. 2011 May;20(3):267, 264-6. doi: 10.4037/ajcc2011694.
Fat embolism syndrome is a life-threatening condition that can develop after orthopedic injury and surgery. This syndrome developed in a 19-year-old man after a traumatic femoral fracture that was surgically repaired with intramedullary nailing. The complications experienced by the patient highlight the importance of prevention and early detection of fat embolism syndrome. Although minimization of the syndrome focuses primarily on prehospital care and early stabilization of a patient's condition, prevention of the potential consequences requires early detection by bedside nurses who care for trauma and orthopedic patients. Detailed nursing assessment and rapid recognition and reporting of the signs and symptoms associated with fat embolism syndrome are key to improving the outcomes of these patients.
脂肪栓塞综合征是一种危及生命的疾病,可在骨科损伤和手术后发生。该综合征发生于一名 19 岁男性,其股骨遭受创伤性骨折,随后接受髓内钉手术修复。该患者出现的并发症突出了预防和早期发现脂肪栓塞综合征的重要性。尽管该综合征的最小化主要侧重于院前护理和患者病情的早期稳定,但预防潜在后果需要护理创伤和骨科患者的床边护士进行早期检测。详细的护理评估以及快速识别和报告与脂肪栓塞综合征相关的体征和症状是改善这些患者预后的关键。