Клинический случай лечения пострадавшего с тяжелой сочетанной травмой с множественной жировой эмболией с преимущественным поражением головного мозга

Abstract

Road traffic accidents occupy the first positions due to severe combined injuries of the population. One of the most dangerous and poorly diagnosed complications of the acute period of combined skeletal injury is the syndrome of fatty embolism with predominant brain damage. Despite the large number of proposed methods and treatments for this complication, the mortality rate remains very high at the moment. A clinical case of successful treatment of multiple fatty embolism of the microvascular bed of internal organs with predominant brain damage in a patient with severe concomitant trauma is presented. Despite the difficulties of diagnosis and treatment, a high percentage of disability, complications and mortality, and the difficulty of preventing this complication of fat embolism with a predominant manifestation in the form of cerebral fat embolism, a favorable outcome is possible for patients with concomitant trauma.Keywords: traffic accident, fractures of long bones, traumatic shock, polytrauma, fat embolism, cerebral fat embolism, intensive care.