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Abstract
Fat embolism is a relatively rare catastrophic complication of multiple long bone fracture or extensive crushing injury to soft tissue. Many authors have been reported its pathogenesis, diagnosis and treatment, but still there were no certain pathogenesis, definite diagnostic criteria and treatment.
We have experienced a case of fat embolism followed by femur fracture in March, 1974. The patient was successfully treated with oxygen, whole blood transfusion, corticosteroid and other supportive measures. After satisfactory recover from embolic disaster fractured femur was reduced surgically with intramedullary Küntscher nailing.
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Table 1
Criteria for the Clinical Diagnosis of Fat Embolism
| A history of skeletal injury |
| A history of hypovolemic shock |
| Petechial hemorrhages |
| Tachypnea and dyspnea |
| Disturbances of consciousness |
Table 2
Criteria for the Laboratory Diagnsis of Fat Embolism
| Lipuria |
| Elevation of the serum lipase |
| Chest x-ray |
| Electrocardiogram |
| Thrombocytopenia |
| Decreased arterial pO2 |
Table 3
Comparison of Features of Cerebral Fat Embolism and Craniocerebral Trauma
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