title: [The early diagnosis and treatment of fat embolism syndrome caused by the injuries in Wenchuan earthquake].
abstract: 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.
authors.affiliation: Department of Orthopaedics, Mianyang Central Hospital, Mianyang 621000, China.
authors.forename: Jun
authors.initials: J
authors.lastname: Wang
authors.forename: Heng
authors.initials: H
authors.lastname: Yang
authors.forename: Jia
authors.initials: J
authors.lastname: Xiang
authors.forename: Bin
authors.initials: B
authors.lastname: Kang
authors.forename: Tao
authors.initials: T
authors.lastname: Wang
mesh_terms: 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