Fat embolism
Á¤ÀÇ: long boneÀÇ multiple tramumatic fractureÈÄ¿¡ dyspnea, petechiae, mental
confusion¹ß»ý.
ÁÖ·Î 72½Ã°£ ³»¿¡ ¹ß»ýÇϸç neutral fatÀÌ vascular systemÀ¸·Î À¯ÀԵǸé vascular
permeability¸¦ Áõ°¡½ÃŲ´Ù. ±× °á°ú lung¿¡¼ Rt-to-Lt shunt°¡ ¹ß»ýÇÑ´Ù.
Áø´Ü: ´Ù¸¥ ¿øÀÎÀ» ¹èÁ¦ÇÑÈÄ ÀÓ»óÀûÀ¸·Î ÇÑ´Ù.
free fatty acid´Â diffuse vasculitis with capillary leakage¸¦ ÀÏÀ¸Å²´Ù.
(cerebral, pul & other vascular bed)
=> clinical & radiographic findings
Ä¡·á: supportive, O2 + mechanical ventilation
corticosteroid - controversial
high-risk patient¿¡¼ steroid prophylaxisÇϱ⵵ ÇÑ´Ù.
¿¹ÈÄ: good