Yihua Zhou,Ying Yuan,Chahua Huang,Lihua Hu,Xiaoshu Cheng.[J].Chin J Traumatol,2015,18(2):120-123. [doi]
Pathogenesis, diagnosis and treatment of cerebral fat embolism
  
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KeyWord: Cerebral fat embolism Fractures Coma Nuclear magnetic resonance
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Author NameAffiliation
Yihua Zhou Department of ICU, the Second Affiliated Hospital to Nanchang University 
Ying Yuan Department of ICU, the Second Affiliated Hospital to Nanchang University 
Chahua Huang Department of Cardiology, the Second Affiliated Hospital to Nanchang University 
Lihua Hu Department of Cardiology, the Second Affiliated Hospital to Nanchang University 
Xiaoshu Cheng Department of Cardiology, the Second Affiliated Hospital to Nanchang University 
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Abstract:
      In this study, we analyzed two cases of pure cerebral fat embolism and reviewed related literatures to explore the pathogenesis, clinical manifestations, diagnosis and treatment of cerebral fat embolism, improve the treatment efficiency and reduce the misdiagnosis rate. In our cases, patients fully returned to consciousness at the different times with good prognosis, normal vital signs and without obvious sequelae. For patients with the limb fractures, who developed coma without chest distress, dyspnea or other pulmonary symptoms 12 or 24 h post injury, cerebral fat embolism should be highly suspected, except for those with intracranial lesions, such as delayed traumatic intracerebral hemorrhage, etc. The early diagnosis and comprehensive treatment can improve prognosis.
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