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骨骨折手术后的失言症:一个病例报告

Fang Wu¹, Yifan Zhang¹, Xu Zhu²

¹Department of Intensive Care Medicine, Shanghai Jiao Tong University School of Medicine Affiliated Sixth People's Hospital, Shanghai, China.

|October 7, 2025

概括

大脑脂肪栓塞 (CFE) 很少会在骨科手术后导致孤立的失言症. 早期的MRI对于诊断这种罕见的并发症至关重要,能够迅速识别和干预以获得更好的结果.

科学领域:

神经学神经学
整形外科手术整形外科手术
放射学放射学是一门学科.

背景情况:

脂肪栓塞综合征 (FES) 是长骨折和骨科手术的严重并发症.
大脑脂肪栓塞 (CFE) 是FES的一种罕见的神经表现,通常表现为非特异性脑病变症状.
孤立的焦点神经缺陷,如失言症,是CFE的不常见表现.

研究的目的:

报告一种非典型的CFE病例,呈现出孤立的失语症.
提高临床意识,及时识别骨科手术后这种罕见的神经缺陷.

主要方法:

一名57岁的男性在骨骨折后发展出急性表达性失言症.
大脑MRI揭示了特有的"星野"模式,证实了CFE.
管理涉及支持性护理,包括氧气,糖皮质类药物和肝素.

主要成果:

患者的病情在术后的第四天稳定.
语言功能逐渐有所改善,在1周后退院.
患者可以制作短句,偶尔在出院时暂停.

结论:

CFE可以不典型地呈现与孤立的失言症.
早期的MRI与扩散权重成像对于CFE诊断至关重要.
在骨科手术后患有急性神经缺陷的患者中保持对CFE的高度临床怀疑.

关键词:

亚法西亚 (aphasia) 是一种失言症.案例报告案例报告脂肪栓塞脂肪栓塞是什么磁共振成像技术的使用骨骨折骨骨折骨骨折

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