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通过认知障碍诊断的脑脂肪栓塞

Cerebral fat embolism diagnosed by cognitive disorder.

作者信息

Kotan Dilcan, Ayas Zeynep Ozozen, Sayan Saadet, Inanmaz Mustafa Erkan, Acar Bilgehan Atilgan

机构信息

Department of Neurology, Sakarya University Faculty of Medicine, Sakarya, Turkey.

Department of Neurology, Sakarya Training and Research Hospital, Sakarya, Turkey.

出版信息

Eurasian J Med. 2014 Jun;46(2):135-7. doi: 10.5152/eajm.2014.30.

Abstract

Fat embolism syndrome is a rarely seen complication of skeletal trauma, and it is seen at a rate of 2-5% after fractures of the long bones of the lower extremities. Its classic triad-+consists of hypoxemia, petechial bleedings on the skin and neurological findings. These neurological findings are highly variable and non-specific, and they can present with lethargy, irritability, delirium, stupor, convulsion or coma. In this report, a male case is presented who was diagnosed with cerebral embolism due to acute cognitive disorder after a segmental tibial fracture.

摘要

脂肪栓塞综合征是一种罕见的骨骼创伤并发症,在下肢长骨骨折后发生率为2%-5%。其典型三联征包括低氧血症、皮肤瘀点出血和神经学表现。这些神经学表现高度多变且不具特异性,可表现为嗜睡、烦躁、谵妄、昏迷、惊厥或昏迷。在本报告中,呈现了一例男性病例,该患者在胫骨节段性骨折后因急性认知障碍被诊断为脑栓塞。

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