Fujiwara S, Nishimura A, Nakagawa K, Tatsuno Y, Mizoi Y
Department of Legal Medicine, Kobe University School of Medicine, Japan.
Nihon Hoigaku Zasshi. 1993 Apr;47(2):137-46.
We experienced a case dying of systemic fat embolism shortly after a traffic accident. The man of 83 years old suffered an accident by a car while wheeling his bicycle on a lane through rice fields. His both legs were run over by a wheel of the car. He was fully conscious for some while after the accident. However, while he was taken to a hospital by an ambulance, he suddenly lost consciousness and died 2 hours and 45 minutes after the accident. The autopsy examination revealed the severely fractured tibiae in both legs. The left clavicle and sternum as well as the ribs of both sides were also fractured. Organs in the thoracic and abdominal cavities were slightly congested. The histopathological examinations revealed fat droplets in the small vessels in interlobular connective tissues and many alveolar capillaries of the lungs, many glomeruli of the kidneys and a few capillaries in parietal region of the cerebrum.
我们遇到过一例交通事故后不久死于系统性脂肪栓塞的病例。这位83岁的男性在稻田间的小道上推着自行车时被一辆汽车撞到。他的双腿被车轮辗过。事故发生后他有一段时间意识清醒。然而，在他被救护车送往医院的途中，他突然失去意识，并在事故发生2小时45分钟后死亡。尸检显示双腿胫骨严重骨折。左侧锁骨、胸骨以及双侧肋骨也有骨折。胸腔和腹腔内的器官稍有充血。组织病理学检查显示，在小叶间结缔组织的小血管、肺的许多肺泡毛细血管、肾的许多肾小球以及大脑顶叶区域的一些毛细血管中发现了脂肪滴。
