The diagnosis and treatment of severe cerebral fat embolism.
OBJECTIVE
To improve the diagnosis and treatment of severe cerebral fat embolism (SCFE).


METHODS
The data of nine patients with SCFE were retrospectively analyzed. The manifestations of the central nerve system, respiratory system and hemorrhage were recorded, at the same time, accessory examination including arterial oxygen, fat macroglobules in venous blood and image examination was adapted. The patients were treated with exopexy, pharmocotherapy and oxygentherapy.


RESULTS
Two of the nine patients died of severe complications, the other seven recovered without severe sequela.


CONCLUSIONS
Gurd standard should be improved for early diagnosis of SCFE. If svere complications can be prevented, patients who receive early treatment will have favourable prognosis.
Zhou
Dong-sheng
DS
Department of Orthopaedics, Shandong Provincial Hospital, Jinan 250021, China. cola.daughter@163.com
Wang
Fu
F
Wang
Bai-min
BM
Wang
Lu-bo
LB
Li
Lian-xin
LX
Xu
Shi-hong
SH
Mu
Wei-dong
WD
D000058:Accidental Falls; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D002423:Cause of Death; D002681:China; D003131:Combined Modality Therapy; D004620:Embolism, Fat / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy*; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma; D012189:Retrospective Studies; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D016019:Survival Analysis