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股骨干骨折髓内钉固定术后脂肪栓塞综合征:病例报告。

Fat embolism syndrome after femur fracture with intramedullary nailing: case report.

机构信息

School of Nursing, University of North Carolina at Charlotte, 28223-4799, USA.

出版信息

Am J Crit Care. 2011 May;20(3):267, 264-6. doi: 10.4037/ajcc2011694.

DOI:10.4037/ajcc2011694
PMID:21532048
Abstract

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.

摘要

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。

相似文献

1
Fat embolism syndrome after femur fracture with intramedullary nailing: case report.股骨干骨折髓内钉固定术后脂肪栓塞综合征:病例报告。
Am J Crit Care. 2011 May;20(3):267, 264-6. doi: 10.4037/ajcc2011694.
2
[Dyspnea or confusion after trauma? Consider fat embolism syndrome].创伤后出现呼吸困难或意识模糊?考虑脂肪栓塞综合征。
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Review: systemic effects of femoral nailing: from Küntscher to the immune reactivity era.综述:股骨内固定的全身影响:从孔氏髓内钉到免疫反应时代
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Fat embolism: the reaming controversy.脂肪栓塞:扩髓的争议
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[Systemic complications in intramedullary nailing].[髓内钉固定术的全身并发症]
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[Acute pulmonary complications following femoral intramedullary nailing in a patient with multiple trauma].[一名多发伤患者股骨髓内钉固定术后的急性肺部并发症]
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Comparison of RIA and conventional reamed nailing for treatment of femur shaft fractures.RIA 与传统扩髓髓内钉治疗股骨干骨折的比较。
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Pulmonary fat embolism after reamed and unreamed nailing of femoral fractures.股骨骨折扩髓和非扩髓髓内钉固定术后肺脂肪栓塞。
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Adult respiratory distress syndrome, pneumonia, and mortality following thoracic injury and a femoral fracture treated either with intramedullary nailing with reaming or with a plate. A comparative study.成人呼吸窘迫综合征、肺炎以及胸外伤合并股骨干骨折采用扩髓髓内钉或钢板治疗后的死亡率:一项对比研究
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Resuscitation before stabilization of femoral fractures limits acute respiratory distress syndrome in patients with multiple traumatic injuries despite low use of damage control orthopedics.在股骨骨折稳定之前进行复苏可限制多发创伤患者的急性呼吸窘迫综合征,尽管损伤控制骨科的应用率较低。
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Postoperative complications of concomitant fat embolism syndrome, pulmonary embolism and tympanic membrane perforation after tibiofibular fracture: A case report.胫腓骨骨折术后并发脂肪栓塞综合征、肺栓塞及鼓膜穿孔1例报告
World J Clin Cases. 2021 Jan 16;9(2):476-481. doi: 10.12998/wjcc.v9.i2.476.
2
A rare case of fat embolism syndrome secondary to abdominal liposuction and gluteal fat infiltration.一例罕见的腹部抽脂及臀肌脂肪浸润继发脂肪栓塞综合征病例。
J Surg Case Rep. 2020 Dec 21;2020(12):rjaa441. doi: 10.1093/jscr/rjaa441. eCollection 2020 Dec.
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From the diagnosis to the therapeutic management: cerebral fat embolism, a clinical challenge.
从诊断到治疗管理:脑脂肪栓塞,一项临床挑战。
Int J Gen Med. 2019 Jan 4;12:39-48. doi: 10.2147/IJGM.S177407. eCollection 2019.
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Fat Embolism Syndrome: A Case Report and Review Literature.脂肪栓塞综合征:一例病例报告及文献综述
Case Rep Med. 2018 Apr 29;2018:1479850. doi: 10.1155/2018/1479850. eCollection 2018.
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Reproducible transient asystolic arrest during intramedullary reaming of the femoral canal: A case report.股骨髓内扩髓时出现可重复性短暂心脏停搏:一例报告
J Clin Orthop Trauma. 2017 Aug;8(Suppl 1):S58-S61. doi: 10.1016/j.jcot.2017.07.010. Epub 2017 Jul 20.