Abstract：
UNASSIGNED: Bone marrow embolism is known to occur after fractures of long bones such as the femur and pelvis. We report a case of multiple fractures in a 32-year-old female patient, demonstrating bone marrow elements in the peripheral blood as early as 2 hours after trauma. This is the first case being reported with an ante-mortem demonstration of circulating marrow emboli in the peripheral blood, while the previously reported cases have demonstrated the emboli in post-mortem examination. A careful correlation of the clinical history of trauma, hematology auto-analyzer results, and the presence of bone marrow particles and fat globules in peripheral blood helped in arriving at the diagnosis of fat embolism in our case irrefutably.
摘要：
■已知骨髓栓塞发生在股骨和骨盆等长骨骨折后。我们报告了一例32岁女性患者的多发性骨折，早在创伤后2小时显示外周血中的骨髓成分。这是首例在死前证实外周血中存在循环骨髓栓子的病例，而先前报道的病例在验尸检查中已显示出栓子。创伤临床病史的仔细关联，血液学自动分析仪结果，在我们的病例中，外周血中骨髓颗粒和脂肪球的存在有助于无可辩驳地诊断出脂肪栓塞。
