CAJ | 학술논문

目的探讨股骨干骨折后脂肪栓塞综合征(FES)的诊断与治疗方法。方法 1989～1998年收治的股骨干骨折病人212例，对并发FES的8例病人的临床表现、治疗方法与结果进行描述。结果 184例单股骨骨折病人发生FES 4例，28例双股骨骨折病人发生FES 4例，发生率分别为2.2%和16.7%，P＜0.05。结论 FES更好发于双股骨骨折病人；骨折的早期开放复位固定可降低FES的发生率，而骨折髓内针固定有增加FES发生的危险；呼吸支持和循环维持是治疗FES的关键，早期大剂量激素应用有肯定的治疗效果。
목적탐토고골간골절후지방전새종합정(FES)적진단여치료방법。방법 1989～1998년수치적고골간골절병인212례，대병발FES적8례병인적림상표현、치료방법여결과진행묘술。결과 184례단고골골절병인발생FES 4례，28례쌍고골골절병인발생FES 4례，발생솔분별위2.2%화16.7%，P＜0.05。결론 FES경호발우쌍고골골절병인；골절적조기개방복위고정가강저FES적발생솔，이골절수내침고정유증가FES발생적위험；호흡지지화순배유지시치료FES적관건，조기대제량격소응용유긍정적치료효과。
Objective　To discuss diagnosis and treatment methods of the fat embolism syndrome(FES)after the femur fractures.Methods　From 1989 to 1998,212 cases of the patients with femur fractures were divided into two groups(the group of single femur fracture and double femur fractures).The clinical manifestation,treatment methods and results of 8 cases with FES were described.Results　The incidence of FES in two groups was 2.2% and 16.7% respectively(P＜0.05).　Conclusion　The incidence of FES in patients with double femur fractures is higher.It may decrease when early open reduction and fixation of femur fractures are performed,but it may raise when an intramedullary nailing technique is used.The crux of treatment is to support the pulmonary and cardiac function.Early large dosage of steroids is effective.