骨折后并发脂肪栓塞综合征的诊断和治疗

目的：探讨脂肪栓塞综合征的临床特点、诊断和治疗。方法：回顾性分析9例脂肪栓塞综合征患者的临床表现、治疗方法和结果：结果：当早期出现脂肪栓塞综合征的症状并排除原发病和合并症时，立即按脂肪栓塞综合征进行治疗。在9例脂肪栓塞综合征患者中，除1例因为肺部感染、心力衰竭而死亡外，其余患者临床症状、体征均消失或减轻。结论：骨折的早期开放复位固定可降低脂肪栓塞综合征的发生率，呼吸支持和循环维持是治疗脂肪栓塞综合征的关键，早期大剂量激素应用有肯定的治疗效果。

Diagnosis and Treatment of Fat Embolism Syndrome after Fracture of Bone

Objective:To investigate the clinical characteristics,diagnosis and treatment of the fat embolism syndrome(FES).Methods:The clinical manifestations,treatment methods and results of 9 cases with fat embolism syndrome encountered from 1990 to 2003 were reviewed.Results:When symptoms of FES were detected,the treatment of FES was carried out immediately for the patients.In 9 cases having fat embolism syndrome,the clinical symptoms and physical signs wree improved or disappeared after the treatment,except that one case died from pulmonary infection and heart failure.Conclusion:The incidence of FES in patients might be reduced when early open reduction and fixation of fractures were performed.The crux of treatment was to support the pulmonary and cardiac function.Early high dosage of steroid might be effective.