¼±Åà - È­»ìǥŰ/¿£ÅÍŰ ´Ý±â - ESC

 

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