Travmatik ya� embolisi sendromu:  Olgu sunumu

�zyurt, Yaman; Erkal, Hakan; �zay, Kemal; Ar�kan, Zuhal

Cilt : 12 Say� : 3 Y�l : 2024

30/12Gelecek Say� Ar�iv Kapaklar Pop�ler Makaleler

ICMJE COI Form

H�zl� Arama

Travmatik ya� embolisi sendromu: Olgu sunumu [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2006; 12(3): 254-257

Travmatik ya� embolisi sendromu: Olgu sunumu

Yaman �zyurt, Hakan Erkal, Kemal �zay, Zuhal Ar�kan
�zel Umut Hastanesi, Anesteziyoloji Ve Reanimasyon Servisi, �stanbul

Ya� embolizmi sendromu (YES) �zellikle uzun kemik k�r�klar�nda geli�en bir travmatoloji komplikasyonudur. Ya� embolisine ba�l� klinik tablo s�kl�kla belirgin olmayabilir ve belirtiler de�i�iklik g�sterdi�i i�in, rutin laboratuvar ve radyografik tan� y�ntemi olmad��ndan tan� zor koyulmaktad�r. Klasik olarak, YES uzun kemik k�r��ndan 24 ile 48 saat sonra olu�an solunum s�k�nt�s�, �uur de�i�iklikleri ve pete�iyal d�k�nt�ler triad� ile ortaya ��kar.
Bu �al��mada, travmatik YES geli�en 16 ya��ndaki k�z �ocu�u sunuldu. Olguda travmatik ya� embolisi tan�s�, temel olarak mevcut klinik de�i�iklikler, radyolojik ve laboratuvar bulgular�n�n yan� s�ra geli�en arteriyel hipoksemiye neden olabilecek bozukluklar�n yoklu�unun g�sterilmesi ile konuldu. Yo�un bak�m servisine al�nan hasta pozitif end-ekspiratuvar bas�n� ile uygulanan ventilat�r ve destek tedavisi sonucu durumundaki d�zelme ile a��k red�ksiyon ve internal fiksasyon yap�lmak �zere taburcu edildi.

Anahtar Kelimeler: Emboli, ya�/ila� tedavisi/etyoloji/fizyopatoloji, k�r�klar, kemik/komplikasyon.

Traumatic fat embolism syndrome: a case report

Yaman �zyurt, Hakan Erkal, Kemal �zay, Zuhal Ar�kan
Department Of Anestesiology And Reanimation, Umut Hospital, �stanbul, Turkey

Fat embolism syndrome (FES) is a known complication of traumatology, especially in long bone fractures. Fat embolic events are most often clinically insignificant and difficult to recognize since clinical manifestations are varied and there is no routine laboratory or radiographic diagnostic tool. Classically, FES presents with the triad of pulmonary distress, mental status changes, and petechial rash 24 to 48 hours after long-bone fracture. We report the intensive care management of a 16-year-old female patient who developed traumatic fat embolism syndrome. Traumatic fat embolism was diagnosed, based on suggestive clinical manifestations, radiographic and laboratory findings and confirmed by the demonstration of arterial hypoxemia in the absence of other disorders. Admission to the intensive care unit, mechanical ventilatory support with positive end-expiratory pressure and supportive therapy leaded to the patient's improvement and she was discharged with planned open reduction and internal fixation.

Keywords: Embolism, fat/drug therapy/etiology/physiopathology, fractures, bone/complications.

Sorumlu Yazar: Yaman �zyurt, T�rkiye
Makale Dili: T�rk�e

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