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脂肪栓塞综合征：一例早期通过双能CT诊断并采用体外膜肺氧合（VA-ECMO）和吸入一氧化氮治疗成功的重症病例。

Fat embolism syndrome: A severe case diagnosed early using dual-energy CT and saved with VA-ECMO and inhaled nitric oxide.

作者信息

Ota Tsuyoshi, Sawada Takahiro, Shimoura Hiroyuki, Terao Yuya, Ito Tatsuro, Okajima Katsunori, Kadotani Makoto, Onishi Yoshio

机构信息

Department of Cardiology Kakogawa Central City Hospital Kakogawa Hyogo Japan.

出版信息

Clin Case Rep. 2024 Mar 29;12(4):e8681. doi: 10.1002/ccr3.8681. eCollection 2024 Apr.

DOI:10.1002/ccr3.8681
PMID:38560285
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10980781/
Abstract

Diagnosing FES is difficult and time-consuming, and identify FES as an etiology of right ventricular volume overload for early diagnosis. Because FES is a reversible condition, even severe cases can bse treated if the patient survives the acute phase.

摘要

诊断脂肪栓塞综合征困难且耗时，应将其识别为右心室容量超负荷的病因以便早期诊断。由于脂肪栓塞综合征是一种可逆性病症，即使是严重病例，如果患者能度过急性期也可得到治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1459/10980781/1945ea037292/CCR3-12-e8681-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1459/10980781/304ed2787902/CCR3-12-e8681-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1459/10980781/39e14aedc25b/CCR3-12-e8681-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1459/10980781/1945ea037292/CCR3-12-e8681-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1459/10980781/304ed2787902/CCR3-12-e8681-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1459/10980781/39e14aedc25b/CCR3-12-e8681-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1459/10980781/1945ea037292/CCR3-12-e8681-g004.jpg

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本文引用的文献

1
Use of VA-ECMO successfully rescued a trauma patient with fat embolism syndrome complicated with acute heart failure and acute respiratory distress syndrome.使用体外膜肺氧合（VA-ECMO）成功救治了一名患有脂肪栓塞综合征并伴有急性心力衰竭和急性呼吸窘迫综合征的创伤患者。
World J Emerg Med. 2023;14(4):332-334. doi: 10.5847/wjem.j.1920-8642.2023.053.
2
Ursodeoxycholic acid protects against lung injury induced by fat embolism syndrome.熊去氧胆酸可预防脂肪栓塞综合征所致的肺损伤。
J Cell Mol Med. 2020 Dec;24(24):14626-14632. doi: 10.1111/jcmm.15985. Epub 2020 Nov 4.
3
Inhaled nitric oxide has pulmonary vasodilator efficacy both in the immediate and prolonged phase of acute pulmonary embolism.
吸入一氧化氮在急性肺栓塞的即刻和延迟阶段均具有肺血管舒张功效。
Eur Heart J Acute Cardiovasc Care. 2021 May 11;10(3):265–272. doi: 10.1177/2048872620918713. Epub 2020 Jul 14.
4
Takotsubo Cardiomyopathy: A Brief Review.应激性心肌病：简要综述
J Med Life. 2020 Jan-Mar;13(1):3-7. doi: 10.25122/jml-2018-0067.
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Detection of pulmonary fat embolism with dual-energy CT: an experimental study in rabbits.应用双能 CT 检测肺脂肪栓塞：兔的实验研究。
Eur Radiol. 2017 Apr;27(4):1377-1385. doi: 10.1007/s00330-016-4512-2. Epub 2016 Aug 10.
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Fat Embolism Syndrome: Lung Computed Tomography Findings in 18 Patients.脂肪栓塞综合征：18例患者的肺部计算机断层扫描结果
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7
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9
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