雪上加霜：计算机断层扫描发现无症状脂肪栓塞

Adding Insult to Injury: Asymptomatic Fat Embolism Identified on Computed Tomography.

作者信息

Moore Malia J, Liu Sophia Y

机构信息

Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas.

出版信息

Clin Pract Cases Emerg Med. 2019 Apr 2;3(2):176-177. doi: 10.5811/cpcem.2019.2.41888. eCollection 2019 May.

DOI:10.5811/cpcem.2019.2.41888

PMID:31061985

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6497213/

Abstract

Fat embolism (FE) is a classically taught complication of long bone fractures, with the potential to cause high morbidity and mortality; however, it is rarely apparent on emergency department (ED) presentation or imaging. If recognized by the ED clinician, development of symptoms of FE may be avoided by early surgical fixation and potentially by corticosteroid administration.

摘要

脂肪栓塞（FE）是长骨骨折一种经典的并发症，有可能导致高发病率和死亡率；然而，在急诊科（ED）就诊或影像学检查时却很少表现明显。如果急诊科医生能够识别，通过早期手术固定以及可能使用皮质类固醇，可以避免脂肪栓塞症状的出现。