A case of life-threatening intraoperative diffuse alveolar hemorrhage during a femur fracture operation with suspected fat embolism: A case report
Anesthesia and Pain Medicine
; : 77-81, 2018.
Article
ي En
| WPRIM
| ID: wpr-739426
المكتبة المسؤولة:
WPRO
ABSTRACT
Diffuse alveolar hemorrhage (DAH) is a rare manifestation of trauma or long bone fracture. A relationship between fat embolism and DAH has been reported. A 73-year-old female developed sudden cardiac arrest during a femur fracture operation. Cardiopulmonary resuscitation (CPR) was repeated for about 130 minutes. During CPR, blood was detected in the endotracheal tube. Diffuse patch ground glass opacity appearance and increased pulmonary artery with bulging of interventricular septum toward the left ventricle were detected on a chest computed tomography scan. After full supportive care including ventilator therapy, the patient's condition became stabilized and she was extubated after 7 days. We report a case of DAH in the course of a suspected fat embolism during femur fracture operation. Although DAH is a rare manifestation of fat embolism, early diagnosis and aggressive treatment likely can decrease morbidity and mortality.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Pulmonary Artery
/
Thorax
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Ventilators, Mechanical
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Mortality
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Death, Sudden, Cardiac
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Cardiopulmonary Resuscitation
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Early Diagnosis
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Embolism
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Embolism, Fat
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Fractures, Bone
نوع الدراسة:
Diagnostic_studies
/
Prognostic_studies
/
Screening_studies
المحددات:
Aged
/
Female
/
Humans
اللغة:
En
مجلة:
Anesthesia and Pain Medicine
السنة:
2018
نوع:
Article