What do you know about fat embolism syndrome?
summary
Fat embolism syndrome refers to dyspnea, disturbance of consciousness and ecchymosis 24-48 hours after pelvic or long bone fracture. It rarely occurs in patients with upper limb fractures, and the incidence in children is only 1% of that in adults. With the active open surgical treatment of fracture, its incidence has decreased significantly. But FES is still a serious life-threatening complication after traumatic fracture. What do you know about fat embolism syndrome? Next, I'd like to share my views with you.
What do you know about fat embolism syndrome?
Sevitt divided fat embolism syndrome into three types: fulminant type, complete type (typical symptom group) and incomplete type (partial symptom group, subclinical type). Incomplete type can be divided into pure lung type, pure brain type, both lung type and brain type according to the lesion location, and pure brain type is the least.
It can be seen in 2-3 days after injury, in front of both shoulders, upper clavicle, anterior chest, abdomen and other skin loose parts, and also in conjunctiva or fundus. It can appear in batches 1-2 days after injury, disappear rapidly and occur repeatedly. Therefore, the fracture patients should pay attention to check in a few days after admission.
The main symptoms were dyspnea, cough and expectoration (often bloody), but moist rales were not unique. Typical lung X-ray showed "blizzard" shadow in the whole lung, and the image of right heart load increased. But this kind of shadow may not be found, and if there is no secondary infection, it can quickly disappear. Therefore, the suspicious cases can be checked repeatedly with portable X-ray machine.
matters needing attention
Do not cause edema, you must go to the regular hospital to do a comprehensive examination, to see if it is fat embolism syndrome, must listen to the doctor's advice, with the doctor's treatment, the right medicine, and the key to the treatment of this disease is to reduce weight, control diet.
