The early diagnosis and treatment of fat embolism syndrome caused by the injuries in Wenchuan earthquake.
- Author:
Jun WANG
1
;
Heng YANG
;
Jia XIANG
;
Bin KANG
;
Tao WANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Early Diagnosis; Earthquakes; Embolism, Fat; diagnosis; etiology; therapy; Female; Humans; Male; Middle Aged; Treatment Outcome; Wounds and Injuries; complications
- From: Chinese Journal of Surgery 2008;46(24):1856-1858
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analysis and discuss the early diagnosis and treatment of fat embolism syndrome caused by the injuries in Wenchuan earthquake happened in May 12th, 2008.
METHODSTo carry out dynamic blood and oxygen analysis and blood routine examination for the 13 fat embolism syndrome patients wounded in the earthquake, and combine with clinical features and early diagnosis, inject hydrocortisone injection, dextran 40 glucose injection and Dan Shen Root injection. Meanwhile, pay attention to supporting the respiratory function and correcting hypoxemia.
RESULTSOf 13 patients, 12 cases were rescued successfully, and the successful rate was 92.3%, while one cases died from respirometric failure with fat embolism syndrome and secondary hemorrhagic pneumonia.
CONCLUSIONSThe key to treating fat embolism syndrome is the early diagnosis and timely and accurate treatment. Supporting the respiratory function, correcting hypoxemia and early high-dose combination of hormone treatment are the effective treatment methods.
