THE PULMONARY-ARTERY CATHETER - A DIAGNOSTIC ADJUNCT FOR FAT-EMBOLISM SYNDROME

被引：5

作者：

ADOLPH, MD

FABIAN, HF

ELKHAIRI, SM

THORNTON, JC

OLIVER, AM

机构：

[1] Division of Surgical Intensive Care, St. Luke’s Medical Center, Cleveland, OH

来源：

JOURNAL OF ORTHOPAEDIC TRAUMA | 1994年 / 8卷 / 02期

关键词：

FAT EMBOLISM; CATHETERIZATION; SWAN-GANZ; ADULT RESPIRATORY DISTRESS SYNDROME;

D O I：

10.1097/00005131-199404000-00016

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Available objective tests for fat embolism are neither sensitive nor specific. We performed frozen-section analysis of blood aspirated from a pulmonary artery catheter in a trauma victim with fat embolism syndrome and found marked levels of pulmonary microvascular blood fat. The amount of fat detected in this patient with long bone fractures was higher than that observed in a pilot study of this technique in cardiopulmonary bypass patients. This technique provided diagnostic support of our clinical findings. The procedure may prove useful in patients with an equivocal diagnosis of fat embolism syndrome or when the cause of posttraumatic acute pulmonary insufficiency is unknown.

引用

页码：173 / 176

页数：4

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