College of Osteopathic Medicine, Rocky Vista University, Ivins, Utah.
Southwest Orthopedics and Sports Medicine, St. George, Utah.
JBJS Case Connect. 2023 May 5;13(2). doi: e23.00020. eCollection 2023 Apr 1.
A 26-year-old man with a minimally displaced tibial shaft fracture after an all-terrain vehicle crush injury rapidly developed fat embolism syndrome (FES), leading to diffuse alveolar hemorrhage (DAH) preoperatively. He was treated with an intramedullary rod 10 days after injury after a complicated clinical course and went on to full union with no long-term mental or systemic sequelae.
FES is a known complication of long bone fractures, frequently presenting with hypoxemia. DAH is a rare complication of the condition. This case demonstrates the need for a high index of suspicion both for FES and DAH as complications of orthopaedic trauma.
一名 26 岁男子因全地形车挤压伤导致胫骨骨干轻微移位骨折，迅速发生脂肪栓塞综合征（FES），术前出现弥漫性肺泡出血（DAH）。他在受伤后 10 天接受了髓内棒治疗，经历了复杂的临床过程，最终完全愈合，没有长期的精神或全身后遗症。
FES 是长骨骨折的已知并发症，常表现为低氧血症。DAH 是该疾病的罕见并发症。该病例表明，对于骨科创伤的并发症 FES 和 DAH，都需要高度怀疑。
