Keyal Niraj Kumar, Nakarmi Manish, Bhujel Amid, Yadav Sanjeev Kumar
Department of Dermatology and Venereology, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Department of Critical Care Medicine, B & C Medical College and Teaching Hospital, Birtamode, Nepal.
JNMA J Nepal Med Assoc. 2019 Jul-Aug;57(218):278-280. doi: 10.31729/jnma.4478.
Fat embolism is a life-threatening condition that mostly occurs after long bones and pelvis fractures and treatment is controversial with many available drugs. We hereby present a case of 53 years male who developed shortness of breath, tachycardia, fever, anemia, distended jugular vein, thrombocytopenia, hypoalbuminemia and was diagnosed to have fat embolism after fracture of femur, tibia, fibula and pubic rami following road traffic accident. Patient was treated with 20 percent human albumin, N-acetylcysteine, other supportive treatment and discharged after fourteen days. From this we want to emphasize role of human albumin and N-acetylcysteine in treatment of fat. Keywords: fat embolism; human albumin; N-Acetylcysteine.
脂肪栓塞是一种危及生命的病症，主要发生在长骨和骨盆骨折后，对于其治疗，众多可用药物存在争议。我们在此呈现一例53岁男性病例，该患者在道路交通事故导致股骨、胫骨、腓骨和耻骨支骨折后，出现呼吸急促、心动过速、发热、贫血、颈静脉扩张、血小板减少、低白蛋白血症，并被诊断为脂肪栓塞。患者接受了20%人血白蛋白、N - 乙酰半胱氨酸治疗及其他支持性治疗，14天后出院。由此我们想强调人血白蛋白和N - 乙酰半胱氨酸在脂肪治疗中的作用。关键词：脂肪栓塞；人血白蛋白；N - 乙酰半胱氨酸。
