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脂肪栓塞综合征的新概念自1964年Sproule首次提出脂肪栓塞综合征病人的动脉血氧分压普遍下降的报告以来,人们在这方面进行了广泛的研究,提出了新的见解,认为脂肪栓塞综合征在临床上的表现主要是肺胞膜(肺泡-毛细血管膜)发生病理变化,导致气体交换障碍造成的急性呼吸衰竭。Gossling温习有关这方面的资料得到这样的印象:所有下肢长骨骨折的病人,都有肺部脂肪栓塞,但在临床上出现症状的只占0.5～2％,在多发性骨折或骨盆骨折也不过占5～10％左右,并且在临床出现的症状和体征,都是由于呼
A New Concept of Fat Embolism Since the first report by Sproule on the general decline in arterial oxygen tension in patients with fat embolism syndrome in 1964, extensive studies have been conducted in this area to present new insights that suggest that fat embolism syndrome Symptoms in the clinical manifestations of the lung membrane (alveolar - capillary membrane) pathological changes, leading to gas exchange disorders caused by acute respiratory failure. Gossling review of this information received the impression that all patients with long bone fractures of the lower extremities, have pulmonary fat embolism, but the clinical symptoms of only 0.5 to 2%, but also in multiple fractures or pelvic fractures accounted for 5 ~ 10% or so, and in clinical symptoms and signs, are due to call