%0 Journal Article
%T FAT LUNG EMBOLISM AS A PRECIPITATING FINAL CAUSE OF DEATH IN POLVTRAUMATIZED PATIENTS
%A Slobodan Nikolic
%A Jelena Micic
%A Slobodan Savic
%J Acta Medica Medianae
%D 2001
%I The Faculty of Medicine in Nis
%X Two studies analyzing the autopsy material of the Institute for ForensicMedicine in Belgrade have been done. The first study (group A) was a prospectivehistological one and it comprised the examined in which lung fat embolism was notrecorded as a cause of death in the autopsy protocol conclusion but was confirmed bythe microscopic examination in all the cases. Ali these poly traumatized patients hadan injury that could be an outcome of fat embolism. The second group (group B) wasa retrospective autopsy one and it analyzed autopsy protocols and  a e histories ofthepatients who died of the fat embolism syndrome (FES) that was the only or competingcause of death. The autopsy records and the  a e histories of ali the patients wereanalyzed; the groups were compared with respect to gender and age, way of gettinginjured, an injury severity score (ISS) and the period of living after the injury. Ali theobtained data were processed by corresponding statistic methods. The data analysisled to the conclusion that in the poly traumatized patients the fat lung embolism couldbe a precipitating and flam cause of death either as a singular or as a competitive onecombined with some other. It is obvious that the fat embolism of the lungs and thesystem fat embolism could be accepted as a consequence of every more serious injuryof the fat depots in the organism while a possible later development of the fatembolism syndrome would represent a complication of the injury.
%K Fat embolism
%K FES
%K time of living after the injury
%K polytrauma
%U http://publisher.medfak.ni.ac.rs/2001-html/4-broj-2001/MASNA%20EMBOLIJA%20PLUCA....pdf