摘要
目的分析脂肪栓塞综合征(FES)危重患者发病的临床特点,探讨FES危重患者的早期诊断和救治。方法回顾性分析我院6例FES危重患者的临床资料,总结患者临床表现、诊疗过程及预后等。结果 6例患者均有外伤史,有股骨骨折;均存在呼吸衰竭;诊断成立后立即予糖皮质激素、乌司他丁、白蛋白、右旋糖酐及呼吸机支持治疗,病情明显缓解,后期予高压氧治疗,康复出院无后遗症。结论 FES危重患者临床较少见,无特异性治疗手段,各科临床医师应有足够的认识,及时诊断,使患者早期得到有效救治。
Objective To analyze the clinical features of severe patients with fat embolism syndrome（FES）,to explore the early diagnosis of severe patients with FES and treatment.Methods We retrospectively analyzed the clinical data of six patients with FES in our hospital,including the clinical manifestation,diagnosis and treatment process and prognosis evaluation,etc.Results All patients had a history of trauma and femoral fracture,all experienced respiratory failure.After diagnosis was established,glucocorticoid,ulinastatin,albumin,dextran and ventilator support treatment were taken immediately.All were alleviated in symptoms obviously,late hyperbaric oxygen therapy was adopted,all survived and rehabilitated without sequelae.Conclusion Severe patients with FES are rare,there are no specific treatment measures,so clinicians in all the departements should have enough knowledge to diagnose and treat the patients early.
出处
《临床荟萃》
CAS
2015年第7期817-821,共5页
Clinical Focus
关键词
栓塞
脂肪
股骨骨折
呼吸功能不全
embolism
fat
femoral fractures
respiratory insufficiency
