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一例致命性脑脂肪栓塞病例报告

A Fatal Case of Cerebral Fat Embolism: A Case Report.

作者信息

Gui Xi Yao, Ahmad Waqas, Ali Ismail

机构信息

Department of Radiology, University of British Columbia, Faculty of Medicine, Vancouver, CAN.

Department of Radiology, Vancouver General Hospital, Vancouver, CAN.

出版信息

Cureus. 2024 Apr 26;16(4):e59107. doi: 10.7759/cureus.59107. eCollection 2024 Apr.

Abstract

Fat embolism syndrome (FES) is a rare but serious multisystem syndrome that occurs after 0.9% to 2.2% of fractures, with long bone and pelvic fractures being the most common. The classic triad of FES consists of neurological impairment, respiratory insufficiency, and petechial rash, which develops 12-72 hours after the initial incident. We hereby present a case of a patient who developed persistent altered consciousness, seizures, and hypoxia secondary to a comminuted sacral fracture. Although the patient could not survive owing to multiple factors, imaging played a pivotal role in expediting the diagnostic process and aiding early management.

摘要

脂肪栓塞综合征(FES)是一种罕见但严重的多系统综合征,发生于0.9%至2.2%的骨折后,其中长骨和骨盆骨折最为常见。FES的典型三联征包括神经功能障碍、呼吸功能不全和瘀点疹,在初始事件发生后12 - 72小时出现。我们在此报告一例因骶骨粉碎性骨折继发持续性意识改变、癫痫发作和缺氧的患者。尽管由于多种因素该患者未能存活,但影像学在加速诊断过程和辅助早期管理方面发挥了关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/345a/11128378/6e6b36a40d7f/cureus-0016-00000059107-i01.jpg

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