• Versicherungsmedizin · Jun 1997

    Review

    [Fat embolism--a too infrequently determined pathoanatomic diagnosis].

    • C Behn, W W Höpker, and K Püschel.
    • Abteilung der Pathologie, Allgemeines Krankenhaus Barmbek, Hamburg.
    • Versicherungsmedizin. 1997 Jun 1; 49 (3): 89-93.

    AbstractIn 1993, pulmonary fat embolism occurred in 92 cases (17%) out of 527 clinical autopsies. It was found in 62% of patients who had suffered bone fractures, in 9% with soft tissue surgery and in 53% after resuscitation; non-traumatic fat embolism was present in 6% of the cases. The comparison group of 50 persons with lethal polytrauma revealed pulmonary fat embolism in 52% of the cases. Bone-marrow embolism and microthrombi accompanied fat embolism of the lungs; furthermore some of the persons with pulmonary fat embolism also expressed minor degrees of renal (55%) and cerebral (25%) fat emboli. A retrospective analysis of the clinical data revealed no specific symptoms: a so called fat embolism syndrome had not been discovered clinically in any of the cases with histologically proven fat embolism. The significance of pulmonary fat embolism as a cause of death with regard to histological and clinical findings is discussed.

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