脂肪栓塞综合征（Fat embolism syndrome）.docVIP

脂肪栓塞综合征（Fat embolism syndrome） Fat embolism syndrome is a syndrome characterized by progressive hypoxemia, skin mucosal hemorrhagic point and consciousness disorder after severe trauma, especially multiple fractures. Its good hair at 2 ~ 3 d after injury, the injury is serious, the higher the incidence of fat embolism, especially the multiple fractures is given priority to with long bone fracture of lower limb, its incidence is 5% ~ 5%, more men than women single disease. The ratio of the two is 3:1. The disease is sudden and rapid, the disease is critically ill, and if the diagnosis and treatment are not timely, the death rate can be as high as 10% ~ 15%; In addition, some patients may be misdiagnosed due to lack of performance, thus delaying diagnosis and clinical attention should be taken. I. clinical manifestation The clinical symptoms of fat embolism syndrome can be mild and death. Severe trauma of the lower extremity (crush injury, multiple fracture, major hand surgery) should be alert to the occurrence of this syndrome. For secondary coma patients who have been excluded from craniocerebral injury, they should pay special attention to early diagnosis. The main manifestations of fat embolism syndrome are: 1. Lung symptom chest tightness, shortness of breath, cyanosis, cough or cough of rusty sputum, listening to the lungs with wet. 2. Symptoms of cerebral symptoms, confusion, delirium, delirium, drowsiness, convulsions, etc. 3. The outside heat eliminate acute infection of unexplained sudden high fever, the body temperature above 39 ℃. 4. The pulse rate can be increased 20 times per minute or more (120 times/min). 5. Bleeding point of the skin mucous bleeding, more in the front breast, under the armpit. 2. Nursing observation 1. Enhance the observation of vital signs, take temperature, pulse, respiration and blood pressure 1 time, and observe the changes of the mind and pupil, and record accurately. Report the problem immediately report the doctor timely rescue