[A contribution to differential diagnosis between acute respiratory distress syndrome and central fatty embolism illustrated by examples from traumatology (author's transl)].
The article reports on 5 patients with polytrauma or who had undergone major surgery of the long bones. In all 5 patients there was acute respiratory insufficiency, and, in addition, a comatose condition lasting for a shorter or greater length of time. In 4 out of these 5 patients, tachypnea occurred despite normalisation of the pO2. Petechial hemorrhages occurred in 3 patients at the trunk. All patients rapidly overcame the acute respiratory insufficiency; no pulmonary shock syndrome developed. In case of acute respiratory insufficiency, especially if associated with comatose conditions, central fatty embolism should always be considered a differential diagnostic possibility.
D000328:Adult; D003937:Diagnosis, Differential; D004620:Embolism, Fat / Q000175:diagnosis*; D005260:Female; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000150:complications; D006801:Humans; D002542:Intracranial Embolism and Thrombosis / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D011183:Postoperative Complications / Q000175:diagnosis; D012128:Respiratory Distress Syndrome / Q000175:diagnosis*
D010100:Oxygen
Ein Beitrag zur Differentialdiagnose zwischen akutem Atemnotsyndrom und zerebraler Fettembolie anhand von Beispielen aus der Traumatologie.