Forensic analysis of the death of fat embolism syndrome.docVIP

 PAGE \* MERGEFORMAT 8 Forensic analysis of the death of fat embolism syndrome Fat embolism syndrome (fat embolism syndrome, FES) refers to a diameter of 10 ~ 40μ m fat particles within the blood vessels lumen obstruction caused by a series of pathophysiological changes of the clinical syndrome [1]. FES occurs most often in long bone fracture, fracture surgery and the large area of soft tissue contusion, or burns when grinding, but also occasionally in some non-invasive diseases such as pancreatitis, diabetes mellitus, long-term corticosteroid treatment [2,3]. FES most rapid onset, rapid development, high mortality, symptoms and signs do not take the typical, easy to leak or misuse of Kam Kam. The author in the forensic review of 22 cases collected in the case of death due to FES samples for retrospective analysis to investigate the death of the forensic identification of FES points are reported as follows, only for your reference. 1 Case Material 1.1 General Information of this group of cases, 13 males and 9 females; aged 21 to 62 years, with an average of 41 years. Mechanical trauma in 17 cases, after surgery in 3 cases, burns in 1 case, pathogenic in 1 case. One simple femoral shaft fracture, 4 cases of femoral shaft fracture of tibia and fibula fold in 3 cases of femoral shaft fracture of tibia and fibula, and pelvis fractures, 2 cases of femoral shaft fracture of humeral shaft fractures in 2 cases, 2 cases of simple fracture of tibia and fibula, tibia and fibula fracture combined pelvic fracture in 1 case, fracture of tibia and fibula fracture of humerus in 1 case, a simple one cases of humeral fracture, humerus fracture radius and ulna fracture and rib fracture in 1 case, extensive soft tissue contusion in 3 cases, large area burn in 1 case, late one cases of diabetes mellitus . 1.2 Forensic pathology (1) The internal organs in general see: in each case there was no skull fracture, no brain tissue damage, only to see the brain tissue with mild t