@article{article_189503, title={Diagnosis and follow-up of fat embolism by pulmonary perfusion scintigraphy in polytraumatised patients}, journal={Acta Orthopaedica et Traumatologica Turcica}, volume={24}, pages={127–131}, year={2006}, DOI={10.3944/aott.v24i3.1136}, author={Caniklioglu, Mustafa and Kiran, U. and Yilmaz, N. and Parmaksizoglu, A. and Yalaman, O.}, keywords={Polytrauma;fat embolism;pulmonary perfusion scimtigraphy}, abstract={In Ministry of Health, Taksim Hospital, We have diagnosed acute pulmonary fat embolism on ten cases of polytraumatised patients whose clinical pictures were in accord to fat embolism, by pulmonary perfusion scintigraphy. These patients were especially cases with long bone fractures. Of these ones two (20percent) died but the other (80 percent) recovered. We investigated the characteristics of these series and came to the following Conclusion. In our countr, pulmonary fat embolism has also been seen with a high incidence like the other countries, but laboratory possibilities hadn’t been availabe in most of the centers, cases with mild clinical duration misdiagnosed as fracture disease whersas the severe ones as cerebral trauma and becau se of the fear of increase on bleeding; had been behaved lees aggressively. On diagnosing. The defect of perfusion had been multipl, concavity of its medial border adaptable with treatment had been seen resolution, were the most important criteriae which were suggested by us.
As a result, Wethink of, in Traumatology Clinics and in the centers which have possibility of Nuclear Medicine; pulmonary perfusion scintigraphy should have been used more extensively on the polytraumatised patients and on these patients a routine prophylaxis should be administered.}, number={3}, publisher={Turkish Association of Orthopaedics and Traumatology}