[The early diagnosis and treatment of fat embolism syndrome caused by the injuries in Wenchuan earthquake].
OBJECTIVE
To analysis and discuss the early diagnosis and treatment of fat embolism syndrome caused by the injuries in Wenchuan earthquake happened in May 12th, 2008.


METHODS
To carry out dynamic blood and oxygen analysis and blood routine examination for the 13 fat embolism syndrome patients wounded in the earthquake, and combine with clinical features and early diagnosis, inject hydrocortisone injection, dextran 40 glucose injection and Dan Shen Root injection. Meanwhile, pay attention to supporting the respiratory function and correcting hypoxemia.


RESULTS
Of 13 patients, 12 cases were rescued successfully, and the successful rate was 92.3%, while one cases died from respirometric failure with fat embolism syndrome and secondary hemorrhagic pneumonia.


CONCLUSIONS
The key to treating fat embolism syndrome is the early diagnosis and timely and accurate treatment. Supporting the respiratory function, correcting hypoxemia and early high-dose combination of hormone treatment are the effective treatment methods.
Wang
Jun
J
Department of Orthopaedics, Mianyang Central Hospital, Mianyang 621000, China.
Yang
Heng
H
Xiang
Jia
J
Kang
Bin
B
Wang
Tao
T
D000328:Adult; D042241:Early Diagnosis; D055866:Earthquakes; D004620:Embolism, Fat / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000150:complications