A CASE OF COMPLETE FAT EMBOLISM SYNDROME DUE TO MULTIPLE FRACTURES COMPLICATED BY PROLONGED DISTURBANCE OF CONSCIOUSNESS

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  • MATSUMOTO Masahiro
    Yokohama City University Medical Center, Advanced Critical Care and Emergency Center Yokohama City University, Department of Orthopaedic Surgery
  • KAWAMURA Yusuke
    Yokohama City University Medical Center, Advanced Critical Care and Emergency Center
  • TANIGUCHI Hayato
    Yokohama City University Medical Center, Advanced Critical Care and Emergency Center
  • TAKAHASHI Kouhei
    Yokohama City University Medical Center, Advanced Critical Care and Emergency Center
  • IWASHITA Masayuki
    Yokohama City University Medical Center, Advanced Critical Care and Emergency Center
  • INABA Yutaka
    Yokohama City University, Department of Orthopaedic Surgery
  • TAKEUCHI Ichiro
    Yokohama City University Medical Center, Advanced Critical Care and Emergency Center

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Other Title
  • 遷延性意識障害を合併した多発骨折による完全型脂肪塞栓症候群の1例

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Abstract

<p>　　A 31-year-old man was transported to our hospital following a traffic injury. The patient had bilateral femoral diaphyseal fractures and open pelvic fractures, as well as an intra-abdominal injury. Steel wire traction was performed as a standby surgical strategy for the femur fracture, but on the second day of admission, tachycardia, hypotension, impaired oxygenation, impaired consciousness, and fever were observed, and a diagnosis of fat embolism syndrome was made. An urgent intramedullary nailing procedure was performed as stabilization of the fracture was considered necessary. The patient’s loss of consciousness did not improve, and he was transferred to another hospital on the 31st day. The early development of fat embolism syndrome is associated with a higher severity of disease ; therefore, fat embolism syndrome should always be kept in mind when treating patients with polytrauma.</p>

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