【多发伤后脑脂肪栓塞综合征:下肢多根长骨骨折治疗后并发症】。

4区医学 Q2 Medicine

Unfallchirurg Pub Date : 2022-02-01 Epub Date: 2021-06-10 DOI:10.1007/s00113-021-01011-9

Philipp Georg Schnadthorst, Niklas Rieder, Martina Springer, Christoph Schulze

{"title":"【多发伤后脑脂肪栓塞综合征:下肢多根长骨骨折治疗后并发症】。","authors":"Philipp Georg Schnadthorst, Niklas Rieder, Martina Springer, Christoph Schulze","doi":"10.1007/s00113-021-01011-9","DOIUrl":null,"url":null,"abstract":"In consequence of a car accident a 20-year-old woman with bilateral fractures of the femur and an unilateral lower leg fracture was treated with external fixation. Afterwards she was soporific with signs of impaired consciousness and required intubation and intensive medical care surveillance. A cerebral fat embolism syndrome could be detected as the reason, which was characterized by acute respiratory insufficiency, neurological symptoms and petechiae. Subsequently, definitive treatment was performed by intramedullary nailing. After neurological and orthopedic rehabilitation no performance inhibiting limitations remained.","PeriodicalId":49397,"journal":{"name":"Unfallchirurg","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00113-021-01011-9","citationCount":"1","resultStr":"{\"title\":\"[Cerebral fat embolism syndrome after polytrauma : Complication after fracture treatment of several long bones of the lower extremities].\",\"authors\":\"Philipp Georg Schnadthorst, Niklas Rieder, Martina Springer, Christoph Schulze\",\"doi\":\"10.1007/s00113-021-01011-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"In consequence of a car accident a 20-year-old woman with bilateral fractures of the femur and an unilateral lower leg fracture was treated with external fixation. Afterwards she was soporific with signs of impaired consciousness and required intubation and intensive medical care surveillance. A cerebral fat embolism syndrome could be detected as the reason, which was characterized by acute respiratory insufficiency, neurological symptoms and petechiae. Subsequently, definitive treatment was performed by intramedullary nailing. After neurological and orthopedic rehabilitation no performance inhibiting limitations remained.\",\"PeriodicalId\":49397,\"journal\":{\"name\":\"Unfallchirurg\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1007/s00113-021-01011-9\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Unfallchirurg\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00113-021-01011-9\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/6/10 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Unfallchirurg","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00113-021-01011-9","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/6/10 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 1

摘要

由于车祸，一名20岁的女性双侧股骨骨折和单侧小腿骨折接受外固定治疗。之后，她陷入了昏睡状态，有意识受损的迹象，需要插管和重症监护。病因为脑脂肪栓塞综合征，以急性呼吸功能不全、神经系统症状和瘀点为特征。随后进行髓内钉治疗。神经和骨科康复后，没有表现抑制的限制仍然存在。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

[Cerebral fat embolism syndrome after polytrauma : Complication after fracture treatment of several long bones of the lower extremities].

In consequence of a car accident a 20-year-old woman with bilateral fractures of the femur and an unilateral lower leg fracture was treated with external fixation. Afterwards she was soporific with signs of impaired consciousness and required intubation and intensive medical care surveillance. A cerebral fat embolism syndrome could be detected as the reason, which was characterized by acute respiratory insufficiency, neurological symptoms and petechiae. Subsequently, definitive treatment was performed by intramedullary nailing. After neurological and orthopedic rehabilitation no performance inhibiting limitations remained.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Unfallchirurg 医学-急救医学

CiteScore

1.50

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： Der Unfallchirurg is an internationally recognised publication organ. The journal deals with all aspects of accident surgery and reconstruction surgery and serves the continuing medical education of surgeons and accident surgeons with own practices and those working in hospitals. Practically-oriented works provide an overview on selected topics and offer the reader a summary of current findings from all fields of accident surgery. Besides the imparting of relevant background knowledge, the focus is on the assessment of scientific findings under consideration of practical experience. The reader is given concrete recommendations for his/her practical work.