Zusammenfassung
Die Arbeit befaßt sich mit der Beschreibung der Komponenten des Komplexes des posttraumatischen Syndromes. Das pathologische Geschehen der Fettmakroglobulinämie wird eine klinische Einheit, durch Verstopfung der arteriolaren Endungen der vitalen Organe, was die Form des fettembolischen Syndromes erzeugt. Das Hauptproblem in der Physiopathologie, die Lungeninsuffizienz, die sich zu einer akuten oder subakuten Form entwickelt, ist beschrieben. Ebenfalls ist die cerebrale Embolie beschrieben. Die Symptomatologie ist verschieden und nicht charakteristisch, nach der Wichtigkeit der Symptome und Anzeichen als Minder- oder Hauptsymptome wurde sie in der Diagnose der Fettembolie aufgeteilt. Nur in der letzten Zeit ist die Behandlung der Patienten mit fettembolischem Syndrom bekannt, und sie besteht aus einer allgemeinen suportiven Therapie, Atmungstherapie und anti-inflammatorischen Therapie, hauptsächlich einer Corticoidversorgung.
Summary
This paper describes the components of the post-traumatic syndrome. The pathological state of fat macroglobulinemia by occlusion of arteriolar terminal branches of vital organs causes the fat embolic syndrome. The main physiopathological problem is pulmonary insufficiency in an acute or subacute form. The cerebral embolus is second. The symptomatology varies and is not characteristic. According to their importance they were described as minor or major in the diagnosis of fat emboli. Only recently, treatment for the fat emboli syndrome has been initiated, consisting mainly in supportive measures, respiratory care and anti-inflammatory drugs, mainly cortisone.
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Weisz, G.M., Barzilai, A. Fat embolism: Physiopathology, diagnosis and management. Arch orthop Unfall-Chir 82, 217–223 (1975). https://doi.org/10.1007/BF00417033
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DOI: https://doi.org/10.1007/BF00417033