脂肪栓塞综合征为严重复合伤,四肢骨折伤员常见的合并症,过去死亡率高达70％,国外报导较多,国内曾有二组22例及少数散发病例的报导。因脂肪栓塞综合征(简称脂栓征)中60-70％的患者因有脑脂肪栓塞(简称脑脂栓)而出现脑症状,而脑脂栓常易与颅内血肿或其他脑血管病混淆;我们经治脑脂栓共14例,结合文献资料予以分析讨论。 Fat embolism syndrome is a severe combined injury, a common complication of limb fracture injuries, the past mortality rate as high as 70%, more foreign reports, there were two groups of 22 cases and the domestic distribution of a small number of cases. 60-70% of patients with fat embolism syndrome (referred to as fat embolism) due to brain fat embolism (referred to as cerebral lipid thrombosis) and brain symptoms, and brain lipid embolism often easily confused with intracranial hematoma or other cerebrovascular disease ; We have a total of 14 cases of brain lipid embolism, combined with the literature to be analyzed and discussed.