A Case of Fat Embolism Syndrome Treated with Methylprednisolone.

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2024-12-26 DOI:10.2169/internalmedicine.4472-24

Daisuke Baba, Yugo Yamashita, Yuki Fukuda, Kyohei Yamaji, Hiroki Shiomi, Takahiro Horie, Shin Watanabe, Koh Ono

引用次数: 0

Abstract

A 74-year-old woman presented with sudden dyspnea 22 h after orthopedic surgery. Echocardiography revealed significant right ventricular dilatation, suggesting the development of acute pulmonary embolism. However, contrast computed tomography showed no signs of pulmonary thromboembolism, leading to suspicion of fat embolism syndrome (FES). Despite the administration of high-dose norepinephrine and dobutamine, her hemodynamic status did not improve, and high-dose methylprednisolone (250 mg) was administered. After administration, her hemodynamic status improved promptly, and she soon showed normotension. The current case suggests the possibility of high-dose methylprednisolone for hemodynamic improvement in FES.

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甲强的松龙治疗脂肪栓塞综合征1例。

一名74岁女性在骨科手术后22小时出现突发性呼吸困难。超声心动图显示明显的右心室扩张，提示急性肺栓塞的发展。然而，对比计算机断层扫描未显示肺血栓栓塞的迹象，导致怀疑脂肪栓塞综合征（FES）。尽管给予大剂量去甲肾上腺素和多巴酚丁胺，她的血流动力学状态没有改善，并给予大剂量甲基强的松龙（250 mg）。给药后，患者血流动力学状况迅速改善，很快血压恢复正常。目前的病例表明，大剂量甲基强的松龙可能改善FES的血流动力学。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.