Fat Embolism Syndrome: A Case Report and Review Literature

Table 1

Laboratory data.

Variable	Reference range	2 days before surgery	1 hour after surgery	24 hours after surgery	48 hours after surgery
Hematocrit (%)	40–52	44.7	41	30.6	33.7
Hemoglobin (g/dl)	13.5–17.5	15.0	13.8	10.4	11.4
Red blood cell count (10^3/µl)	4.00–6.00	4.87	4.46	3.37	3.69
White blood cell count (10^3/µl)	4.0–11.0	9.7	21.6	15.1	16.1
Platelet count (10^3/µl)	140–440	353	353	234	248
Prothrombin time (sec)	11.2–13.4		14.3	15.8
Prothrombin-time international normalized ratio			1.17	1.30
Activated partial-thromboplastin time (sec)	22.2–29.4		28.9	29.1
Sodium (mmol/l)	136–145	138		134	134
Potassium (mmol/l)	3.5–5.1	4.3		4.1	3.5
Chloride (mmol/l)	98–107	98		101	101
Carbon dioxide (mmol/l)	21–32	27.6		23.9	22.3
Calcium (mg/dL)	8.5–10.1			7.4	7.4
Phosphorus (mg/dL)	2.5–4.9			2.6	2.3
Magnesium (mg/dL)	1.8–2.4			2.3	2.4
Urea nitrogen (mg/dL)	7–18	15.32		19.1	21.2
Creatinine (mg/dL)	0.6–1.3	0.94		1.06	0.86
Albumin (g/dL)	3.5–5	4.1		2.5	2.3
Total protein (g/dL)	6.4–8.2	8.1		5.3	5.5
Alanine phosphatase (U/l)	12–78	52		27	64
Aspartate aminotransferase (U/l)	15–37	44		37	57
Arterial blood gas
Fraction of inspire oxygen			0.6	0.4
Partial pressure of CO2 (mmHg)	33–47		33	33
Partial pressure of O2 (mmHg)	74–108		274	98
Base excess (%)	−2 to 2		−3.1	0.80