Fulminant Fat Embolism Syndrome Research Articles

神経学的後遺症を残した電撃型脂肪塞栓症候群の1例～文献レビューと予後調査～(A case of fulminant fat embolism syndrome with neurological deficit: literature review and prognosis research)

要旨電撃型脂肪塞栓症候群（電撃型FES）は外傷後短時間で発症し，致死的転帰をたどり生命予後も不良と報告されているがまとまった報告はない。神経学的後遺症を残した電撃型FESの1例を生命予後・神経学的予後を調査した文献レビューとともに報告する。症例は18歳の男性。交通事故により受傷し，救出後に当院救急搬送となった。来院時ショックはなく，意識レベルはGCS E3V4M6で軽度の不穏を認めた。顔面挫滅創を認めたがCTで頭蓋内損傷はなく，右肘開放性脱臼骨折および右大腿骨骨幹部骨折を認めた。受傷後8時間で骨折に対する緊急手術を行った。術中より血圧低下あり，術後に低酸素状態・意識レベル不良であり，再挿管・人工呼吸器管理となった。直後に行ったCTで肺野のすりガラス影の出現と脳浮腫を認め，翌日には点状出血の出現を認めたため電撃型FESの診断となった。集学的治療を行ったが，けいれんの出現があり，受傷後22日に撮像した頭部MRIでは多発性の陳旧性脳梗塞像を認めた。受傷後35日の転院時E3VTM3と意思疎通は困難であった。受傷後1年の時点で追視は可能だが意思疎通困難で，随意的な四肢運動は不可能である。文献レビューでは電撃型FESは日本語文献26例，英語文献14例の症例報告があり，死亡率は43～50%で，神経学的後遺症発生率は43～56%であった。

Nursing analysis and management of one case of fulminant fat embolism syndrome after open fractures of the tibia and fibula

Nursing analysis and management of one case of fulminant fat embolism syndrome after open fractures of the tibia and fibula

A case of fulminant fat embolism syndrome occurred in three hours after traumatism, but rescued by quick intensive care

A case of fulminant fat embolism syndrome occurred in three hours after traumatism, but rescued by quick intensive care

A Case of Acute Fulminant Fat Embolism Syndrome after Liposuction Surgery.

Fat embolism syndrome (FES) is a clinical manifestation that consists of multiple organ dysfunction due to fat emboli. FES occurs as a complication after trauma or procedures such as surgery. The diagnostic criteria of FES have not yet been established, so clinical criteria are used for its diagnosis. The clinical course of acute fulminant FES can be rapid. Liposuction surgery, in which adipocytes are mechanically disrupted, is one cause of FES. As the number of liposuction surgeries increases, clinicians should be aware of the possibility of FES. This was the first report of a case of acute fulminant FES with severe acute respiratory distress syndrome after liposuction surgery, in Korea.

Fat embolism syndrome.

Fat embolism syndrome is an often overlooked cause of breathlessness in trauma wards. Presenting in a wide range of clinical signs of varying severity, fat embolism is usually diagnosed by a physician who keeps a high degree of suspicion. The clinical background, chronology of symptoms and corroborative laboratory findings are instrumental in a diagnosis of fat embolism syndrome. There are a few diagnostic criteria which are helpful in making a diagnosis of fat embolism syndrome. Management is mainly prevention of fat embolism syndrome, and organ supportive care. Except in fulminant fat embolism syndrome, the prognosis is usually good.

Fulminant fat embolism syndrome with multiple fractures-a case report

Fulminant fat embolism syndrome with multiple fractures-a case report

Percutaneous cardiopulmonary support (PCPS) cannot wait for treating a patient with fulminant fat embolism syndrome

Percutaneous cardiopulmonary support (PCPS) cannot wait for treating a patient with fulminant fat embolism syndrome

An unusual case of early fulminant post‐traumatic fat embolism syndrome

A multiple-injured patient developed a very early onset fulminant fat embolism syndrome that was partially masked by haemorrhagic shock. Despite early diagnosis by transoesophageal echocardiography and aggressive symptomatic treatment, there was a rapid evolution to death. Post mortem examination revealed the presence of both pulmonary and systemic fat emboli. This case highlights the ever present risk of masked fat embolism syndrome shortly after trauma.

Fat embolism--a review.

The subject of fat embolism is of recurring interest to those managing trauma. This article covers the topic of fat embolism in general, and presents a case of fulminant fat embolism syndrome which highlights the importance of clinical expertise, and whatever technological aids are available to diagnose and appropriately treat this relatively rare, but highly significant form of the syndrome. Fulminant fat embolism syndrome has a very high mortality and should be watched for in patients who have experienced major trauma.