非骨科手术后脂肪栓塞病例报告和病例系列报告的方案：一种标准化方法。
Protocol for reporting case reports and case series of fat embolism following non orthopedic procedures: a standardized approach.
作者信息
Abdi Hossein, Karimi Rozveh Javad, Azizmanesh Mohammad, Rostami Maryam, Chaghamirzayi Pouria
机构信息
Department of Urology, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Clinical Research Development Unit of Shahid Madani Hospital, Alborz University of Medical Sciences, Karaj, Iran.
出版信息
Int J Surg Protoc. 2025 Mar 20;29(2):30-34. doi: 10.1097/SP9.0000000000000038. eCollection 2025 Jun.
BACKGROUND
Fat embolism (FE), traditionally associated with orthopedic trauma, is increasingly recognized in non-orthopedic procedures such as fat grafting, liposuction, and organ transplantation. The variability in clinical presentation and diagnostic challenges in these contexts highlights the need for a standardized reporting framework.
METHODS
The protocol is based on findings from three systematic reviews and a comprehensive literature review, encompassing 187 cases of fat embolism in non-orthopedic settings. The proposed framework includes guidelines on patient demographics, procedural characteristics, symptom onset, clinical presentation, diagnostic methods, management strategies, and outcomes.
RESULTS
The proposed protocol aims to standardize the documentation of key factors in non-orthopedic fat embolism cases, facilitating improved case reporting and research. Key components include patient details, procedural descriptions, symptom timing, clinical signs, diagnostic approaches, and treatment protocols.
CONCLUSION
A standardized reporting protocol for non-orthopedic fat embolism will enhance clinical recognition, improve management strategies, and contribute to better patient outcomes. Further validation through prospective studies is needed to refine and expand this framework.
背景
脂肪栓塞（FE）传统上与骨科创伤相关，但在脂肪移植、吸脂和器官移植等非骨科手术中越来越多地被认识到。在这些情况下临床表现的变异性和诊断挑战凸显了标准化报告框架的必要性。
方法
该方案基于三项系统评价和一项全面文献综述的结果，涵盖了187例非骨科环境中的脂肪栓塞病例。拟议的框架包括关于患者人口统计学、手术特征、症状发作、临床表现、诊断方法、管理策略和结果的指南。
结果
拟议的方案旨在规范非骨科脂肪栓塞病例关键因素的记录，促进病例报告和研究的改进。关键组成部分包括患者详细信息、手术描述、症状时间、临床体征、诊断方法和治疗方案。
结论
非骨科脂肪栓塞的标准化报告方案将提高临床识别能力，改善管理策略，并有助于改善患者预后。需要通过前瞻性研究进行进一步验证，以完善和扩展该框架。
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