Case Report
Fat Embolism Syndrome: A Case Report and Review Literature
| 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 (103/µl) | 4.00–6.00 | 4.87 | 4.46 | 3.37 | 3.69 | White blood cell count (103/µl) | 4.0–11.0 | 9.7 | 21.6 | 15.1 | 16.1 | Platelet count (103/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 | |
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