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脂肪栓塞综合征发病机理和诊断指标的探讨 被引量:11

An spproach to Pathogenesls and Diagnosis of Fat Emblism Syndrome
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摘要 本文就我院1975~1989年,对12例脂检征患者作了临床及化验观察。作者认为低血容量,髓内压增高及制动不良与脂栓征发病密切相关。低血氧症是较可靠及敏感的早期诊断指标。非颅脑损伤的脑症状,出血点及肺部“暴风雪”样改变是脂栓征的重要诊断指标。而血小板减少,体温升高及脉率增快须与刨伤反应及急性感染相鉴别,仅可作为渗断的参考指标。 12 cases with fat emblism syndrome were reviewed in our hospital between 1975 and 1989.The authors believe that the occurence of FES was in close relation to the hypovolemia, elevation of intramedullary pressure,and unsatisfied immobilization.Hypoxemia is a reliable and sensitive index for its early diagnosis.As to the cerebral symptoms without head injury,petechial and snowstormlike pulmonary infiltrations are valuable expressions,but thrombocytopenia,high temperature and tachycardia should be differentiated from infection and severe trauma reactions and could only be some reference indexes.
作者 刘沂 姚阁宁
出处 《北京医学》 CAS 北大核心 1990年第6期347-349,共3页 Beijing Medical Journal
关键词 脂栓征 病理 诊断
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参考文献2

  • 1孟智玲,王殿珍,陈殿辉,荣国威,贾海江,王文庆,郝海玉,杨玉振,洪连喜.脂肪栓塞综合征七例报告[J]实用外科杂志,1983(01).
  • 2崔甲荣.骨折与脂肪栓塞症候群[J]国外医学参考资料外科学分册,1975(03).

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