脂肪栓塞所致的平卧呼吸困难-直立性低氧血症

Platypnea-orthodeoxia due to fat embolism.

作者信息

Gourgiotis Stavros, Aloizos Stavros, Gakis Christos, Salemis Nikolaos S

机构信息

Second Surgical Department, 401 General Army Hospital of Athens, Greece.

出版信息

Int J Surg Case Rep. 2011;2(6):147-9. doi: 10.1016/j.ijscr.2011.02.015. Epub 2011 Apr 8.

DOI:10.1016/j.ijscr.2011.02.015

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3199624/

Abstract

Platypnea-orthodeoxia is an uncommon syndrome that is characterized by dyspnea relieved by recumbency and deoxygenation following a change from a recumbent to an upright posture. We herein describe a case of platypnea-orthodeoxia in a 75-year-old man after a surgical restoration of a bitrochanteric fracture of his right femur. However, in this extremely rare case, none of the current known anatomical or functional conditions which can cause platypnea-orthodeoxia had been diagnosed. We strongly believe that this syndrome could be also the result of fat embolism.

摘要

平卧呼吸-直立性低氧血症是一种罕见的综合征，其特征为呼吸困难在卧位时缓解，而从卧位改为直立姿势后出现脱氧。我们在此描述一例75岁男性在右股骨转子间骨折手术复位后发生平卧呼吸-直立性低氧血症的病例。然而，在这个极其罕见的病例中，目前已知的可导致平卧呼吸-直立性低氧血症的解剖或功能状况均未被诊断出来。我们坚信这种综合征也可能是脂肪栓塞的结果。

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