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脑脂肪栓塞的延迟恢复

Late recovery in cerebral fat embolism.

作者信息

Srikanth Kp, Sundararajan Sr, Rajasekaran S

机构信息

Department of Orthopaedics, Ganga Hospital, Coimbatore, Tamil Nadu, India.

出版信息

Indian J Orthop. 2014 Jan;48(1):100-3. doi: 10.4103/0019-5413.125527.

DOI:10.4103/0019-5413.125527
PMID:24600071
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3931139/
Abstract

Fat embolism syndrome presenting primarily with cerebral manifestations is rarely reported. We report here two such patients who showed complete recovery following initial deterioration. The aim of these reports is to highlight that prolonged intensive care and good rehabilitation can lead to normal neurologic recovery despite poor clinical picture initially. The importance of adequate oxygenation to prevent secondary brain damage is emphasized during prolonged recovery.

摘要

主要以脑部表现为主的脂肪栓塞综合征鲜有报道。我们在此报告两例此类患者,他们在最初病情恶化后实现了完全康复。这些报告的目的是强调,尽管最初临床表现不佳,但延长重症监护时间并进行良好的康复治疗可使神经功能恢复正常。在漫长的康复过程中,强调了充分氧合以预防继发性脑损伤的重要性。

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本文引用的文献

1
Cognitive outcome of cerebral fat embolism.脑脂肪栓塞的认知结果。
J Stroke Cerebrovasc Dis. 2012 Nov;21(8):906.e1-3. doi: 10.1016/j.jstrokecerebrovasdis.2011.07.006. Epub 2011 Oct 15.
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Cerebral Fat Embolism: A diagnostic challenge.脑脂肪栓塞:一项诊断挑战。
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Post-traumatic fulminant paradoxical fat embolism syndrome in conjunction with asymptomatic atrial septal defect: a case report and review of the literature.创伤后暴发性矛盾性脂肪栓塞综合征合并无症状房间隔缺损:一例报告及文献复习
创伤性骨折后脑脂肪栓塞:文献回顾分析及已发表病例报告。
Scand J Trauma Resusc Emerg Med. 2021 Mar 12;29(1):47. doi: 10.1186/s13049-021-00861-x.
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Posttraumatic subarachnoid fat embolism: Case presentation and literature review.创伤后蛛网膜下腔脂肪栓塞:病例报告与文献综述
Clin Imaging. 2020 Dec;68:121-123. doi: 10.1016/j.clinimag.2020.06.035. Epub 2020 Jun 20.
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Isolated and early-onset cerebral fat embolism syndrome in a multiply injured patient: a rare case.多发伤患者孤立性和早期脑脂肪栓塞综合征:罕见病例。
BMC Musculoskelet Disord. 2019 Aug 17;20(1):377. doi: 10.1186/s12891-019-2736-4.
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Unexpected good outcome in severe cerebral fat embolism syndrome.严重脑脂肪栓塞综合征出现意外的良好预后。
Ann Clin Transl Neurol. 2018 Jul 5;5(8):988-995. doi: 10.1002/acn3.596. eCollection 2018 Aug.
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Cerebral fat embolism: Use of MR spectroscopy for accurate diagnosis.脑脂肪栓塞:磁共振波谱在准确诊断中的应用
Ann Indian Acad Neurol. 2015 Apr-Jun;18(2):252-5. doi: 10.4103/0972-2327.150604.
J Med Case Rep. 2011 Apr 10;5:142. doi: 10.1186/1752-1947-5-142.
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Restricted diffusion and poor clinical outcome in cerebral fat embolism syndrome.脑脂肪栓塞综合征中的扩散受限与不良临床预后
Can J Neurol Sci. 2010 Jan;37(1):128-30. doi: 10.1017/s0317167100009793.
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Emergency management of fat embolism syndrome.脂肪栓塞综合征的急诊处理
J Emerg Trauma Shock. 2009 Jan;2(1):29-33. doi: 10.4103/0974-2700.44680.
6
Delayed coma in head injury: consider cerebral fat embolism.头部损伤后的延迟性昏迷:考虑脑脂肪栓塞。
Clin Neurol Neurosurg. 2009 Sep;111(7):597-600. doi: 10.1016/j.clineuro.2009.03.005. Epub 2009 Apr 24.
7
Post-traumatic cerebral fat embolism prior to operative repair of femoral and tibial fractures.股骨和胫骨骨折手术修复前的创伤后脑脂肪栓塞
Orthopedics. 2008 Feb;31(2):170. doi: 10.3928/01477447-20080201-15.
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Am J Med Sci. 2008 Dec;336(6):472-7. doi: 10.1097/MAJ.0b013e318172f5d2.
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Encephalopathy and MRI abnormalities in fat embolism syndrome: a case report.脂肪栓塞综合征中的脑病与磁共振成像异常:一例报告
Med Sci Monit. 2008 Nov;14(11):CS125-9.
10
[Diffusion-weighted MRI in early diagnosis of cerebral fat embolism syndrome].[扩散加权磁共振成像在脑脂肪栓塞综合征早期诊断中的应用]
Neurologia. 2008 Apr;23(3):188-91.