The interference opportunity of the fat emboli occurring after fractures of long bone or pelvis

(整期优先)网络出版时间:2004-01-11
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Objective:Tosearchfortheinterferenceoppoaunityoffatemboliafterfractureoflongboneorpelvis.Methods:86patientswereselectedandpidedintourineketonepositivegroup(UKPgroup)andurineketonenegativegroup(UKNgroup).Theclinicaldata(includingclinicalandsub-clinicalfatembolism)ofallcaseswereanalyzed.Theincidencerateoffatembo-lismandtheserumtriglyceride(TG)levelwerecomparedbetweenthetwogroups.Results:7patientswithketonuriahadfatem-bolism,3ofthemhadprogressivebloodsedimentationandplateletabnormality.TheincidencerateoffatembolismandtheserumTGlevelinUKPgroupwashigherthanthatinUKNgroup.TherewasasignificantdifferencebetweentheUKPgroup(P<0.05)andtheUKNgroup(P<0.01).Conclusion:TheresultssuggestedthatthepatientshaveahigherriskoffatembolismwhentheserumTGlevelishigh,andresultsinketonuria.Sothiscanbeconsideredastheinterferenceopportunityofthefatemboli.