Investigation Advancement Of The Fat Embolism Syndrome And The Analysis Of Clinical Death Case

Fat embolism syndrome (FES) was first described in 1862, but its frequency today is still unclear. A diagnosis of FES is often missed because of a subclinical illness or coexisting confusing injuries or disease. Fat embolism syndrome develops most commonly after orthopedic injuries, but it has also been reported after other forms of trauma such as severe burns, liver injury, closed-chest cardiac massage, bone marrow transplantation, and liposuction. Although FES usually presents as a multi-system disorder, the most seriously affected organs are the lung, brain, cardiovascular system, and skin. Fat embolism syndrome is a self-limiting disease and treatment should be mainly supportive. Many drugs have been used to treat FES, but the results are inconclusive.Objective To investigate the high factors influencing the mortality of fat embolism syndrome and the related problems during the preservation and treatment. Methodsreview seven death cases of the fat embolism syndrome in department of orthopaedics of China-Japan union hospital of JiLin University between 2000.1 to 2007.12 and take the retrospective analysis of high risk factors of mortality.Resaultsin seven cases ,there are two cases that under forty-five (28.6﹪);four cases above seventy-five (57.1﹪);three cases significant obesity (42.9﹪);five cases combine the heart and lung disease (71.4);three cases are caused by high-energy fracture (42.9﹪). Conclusionshigh-energy fracture, obesity, combine the heart and lung disease and the eld are the high risk factors of mortality. Because the pathogenetic condition of fat embolism syndrome are very dangerous and hard to treat , how to preservate is the most important factor...