Gai Xiaoyan, Sun Xiaoyan, Zhu Xiang, Zhou Qingtao, Sun Yongchang
Department of Respiratory and Critical Care Medicine, University Third Hospital, Beijing, China.
Department of Pathology, Peking University Third Hospital, Beijing, China.
Front Med (Lausanne). 2023 May 23;10:1202709. doi: 10.3389/fmed.2023.1202709. eCollection 2023.
Pulmonary fat embolism usually occurs after fracture, yet rarely observed after liposuction and fat grafting.
We describe a 19-year-old female patient who presented with acute respiratory failure and diffuse pulmonary opacities on chest radiographic image shortly after liposuction and fat grafting. Bronchoalveolar lavage was performed and lipid content in alveolar cells contribute to the diagnosis of the fat embolism syndrome. The patient was successfully treated with noninvasive mechanical ventilation and a short course of glucocorticoids.
Early recognition and appropriate treatment are very important to improve the outcome of pulmonary fat embolism. Considering that liposuction and fat grafting are increasingly common cosmetic surgeries, our aim is to raise awareness for this rare adverse event.
肺脂肪栓塞通常发生在骨折后，但在抽脂和脂肪移植后很少见。
我们描述了一名19岁女性患者，在抽脂和脂肪移植后不久出现急性呼吸衰竭，胸部X线影像显示弥漫性肺混浊。进行了支气管肺泡灌洗，肺泡细胞中的脂质成分有助于脂肪栓塞综合征的诊断。患者通过无创机械通气和短期糖皮质激素治疗成功康复。
早期识别和适当治疗对于改善肺脂肪栓塞的预后非常重要。鉴于抽脂和脂肪移植是越来越常见的美容手术，我们的目的是提高对这种罕见不良事件的认识。
