Cerebral fat embolism syndrome after long bone fracture due to traffic accident: a case report
Cerebral fat embolism syndrome after long bone fracture due to traffic accident: a case report
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交通事故长骨骨折后脑脂肪栓塞综合征一例报告
DOI：
10.20517/2347-8659.2018.23
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发表时间：
2018-08
期刊：
影响因子：
--
通讯作者：
Feng Luo
中科院分区：
文献类型：
--
作者：
Xing-Yong Chen;Jian-Ming Fan;Ming-Feng Deng;Ting Jiang;Feng Luo
脑脂肪栓塞综合征是长骨骨折的一种少见但严重的并发症。我们报告一位19岁男性病患，因交通意外受伤后发生多肢长骨骨折而导致CFES。他在受伤后24小时内逐渐陷入昏迷。动脉血气分析正常。胸部计算机断层扫描（CT）显示右侧胸膜腔内有少量气体。虽然在最初的脑CT结果上没有明显的颅内异常，但观察到典型的脑磁共振成像（MRI）结果，即星野模式和散在病灶。MRI的T2加权成像和弥散加权成像均显示双侧大脑半球白色质、灰质、基底节、胼胝体和丘脑的多个散在病变，提示急性梗死，弥散加权成像序列上无微出血。根据以上所见，诊断为脑脂肪栓塞综合征。虽然患者在重症监护室接受了综合支持治疗，但他仍然昏迷，并在住院7天后出院。
Cerebral fat embolism syndrome (CFES) is an uncommon but serious complication of long bone fracture. We reported a 19-year-old male patient who sustained CFES due to multiple limbs long bone fractures after a traffic accident injury. He gradually developed into coma within 24 h after his injury. The arterial blood gas analyses were normal. There was a small amount of gas in the right pleural cavity on the thoracic computed tomography (CT). Although there were no remarkable intracranial abnormalities on the initial brain CT findings, the typical brain magnetic resonance imaging (MRI) findings of the starfield pattern and scattered foci were observed. Both T2-weighted imaging and diffusion weighted imaging of MRI indicated multiple scattered lesions in the bilateral cerebrum hemisphere white matter, grey matter, basal ganglia, corpus callosum and thalamus indicative of acute infarcts without microbleeding on the susceptibilityweighted imaging sequences. With the above findings, the diagnosis of the case was cerebral fat embolism syndrome. Although the patient was treated with comprehensive support in the intensive care unit, he remained unconscious and was discharged after 7 days of hospitalization.
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DOI：
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发表时间：
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期刊：
American journal of orthopedics
影响因子：
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DOI：
10.4103/0972-5229.169358
发表时间：
2015-11
期刊：
Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine
影响因子：
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