| Autor: |
Masahiko, Ofifwa, Etsu, Iwasaki, Yusuke, Mizobuchi, Takashi, Kadoya, Yoshiaki, Shin, Satoru, Oku, Tomihiro, Fukusima, Hiroaki, Tokioka |
| Rok vydání: |
2018 |
| Předmět: |
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| Zdroj: |
Masui. The Japanese journal of anesthesiology. 65(8) |
| ISSN: |
0021-4892 |
| Popis: |
We experienced anesthetic management of open reduction for a femoral neck fracture in a patient com- plicated with fat embolism syndrome. An 83-year-old woman with a femoral neck fracture was admitted to our hospital after suffering an injury. She developed hypoxemia on admission. Chest X-ray showed a decrease in permeability of the right lung and chest CT scan showed ground glass opacities of the right lung. A blood test showed anemia, thrombocytopenia, and elevation of C-reactive protein. She was diagnosed with fat embolism syndrome using the classification of Tsuruta. Oxygen was administered. C-reactive protein decreased gradually after hospitalization. Echocardiog- raphy showed normal left ventricular function without pulmonary hypertension. She was scheduled for open reduction for the femoral neck fractu-e with artificial grit insertion under general anesthesia 6 days after hospitalization. Her operation was performed with- out exacerbation of the fat embolism syndrome. She was extubated in the operating room, and was dis- charged from the recovery room without any conpli- cations. After surgery, chest X-ray showed further improvement and she was transferred to a rehabilita- tion hospital on the 27th hospital day. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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