S赤ndrome da ang迆stia respirat車ria do adulto por embolia gordurosa no per赤odo p車s-operat車rio de lipoaspiraˋˋo e lipoenxertia

作者:Costa; Andre Nathan; Mendes; Daniel Melo; Toufen; Carlos; Arrunategui; Gino; Caruso; Pedro; Carvalho; Carlos Roberto Ribeiro de
来源:Jornal Brasileiro de Pneumologia, 2008.
DOI:10.1590/S1806-37132008000800013

摘要

fat embolism is defined as mechanical blockage of the vascular lumen by circulating fat globules. although it primarily affects the lungs, it can also affect the central nervous system, retina, and skin. fat embolism syndrome is a dysfunction of these organs caused by fat emboli. the most common causes of fat embolism and fat embolism syndrome are long bone fractures, although there are reports of its occurrence after cosmetic procedures. the diagnosis is made clinically, and treatment is still restricted to support measures. we report the case of a female patient who developed adult respiratory distress syndrome due to fat embolism in the postoperative period following liposuction and fat grafting. in this case, the patient responded well to alveolar recruitment maneuvers and protective mechanical ventilation. in addition, we present an epidemiological and pathophysiological analysis of fat embolism syndrome after cosmetic procedures.

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