Gervasi A, Noseda G, Reiner M, Stucchi C A
Schweiz Med Wochenschr. 1978 Apr 8;108(14):522-5.
Report on an 18-year-old patient who developed a respiratory distress syndrome after trauma without bone fractures and with only minimal soft tissue contusion. Twelve hours after the accident fever and dyspnea appeared, accompanied later by hemoptysis, microhematuria, a fall in hemoglobin and in platelet count, petechiae on the skin and in the conjunctiva, cotton-wool lesions in the retina and micronodular shadows in the lungs. Various pathogenetic mechanisms other than bone marrow fat embolism are discussed in the light of this case.
关于一名18岁患者的报告，该患者在创伤后出现呼吸窘迫综合征，无骨折，仅有轻微软组织挫伤。事故发生12小时后出现发热和呼吸困难，随后伴有咯血、微量血尿、血红蛋白和血小板计数下降、皮肤和结膜瘀点、视网膜棉絮状病变以及肺部微结节阴影。结合该病例讨论了除骨髓脂肪栓塞之外的各种发病机制。
