FAT-EMBOLISM SYNDROME AND PULMONARY MICROVASCULAR CYTOLOGY

被引:23
作者
CASTELLA, X [1 ]
VALLES, J [1 ]
CABEZUELO, MA [1 ]
FERNANDEZ, R [1 ]
ARTIGAS, A [1 ]
机构
[1] HOSP SABADELL,PATHOL SERV,SABADELL,SPAIN
关键词
D O I
10.1378/chest.101.6.1710
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Pulmonary microvascular cytology consists of analysis of capillary blood sampled while a Swan-Ganz catheter is in the wedge position. This technique has proved to be useful in the diagnosis of lymphangitic spread of carcinoma in the lungs and there are case reports of their use in amniotic fluid embolism. Its usefulness in diagnosing fat embolism syndrome has been shown only rarely. We report a new case in which pulmonary microvascular cytologic study allowed a definite diagnosis of fat embolism syndrome. We suggest obtaining routinely samples of capillary blood when a pulmonary catheter is in place and fat embolism is suspected on a clinical basis.
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收藏
页码:1710 / 1711
页数:2
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