乳糜尿試驗於創傷骨折病患併發脂肪栓塞中的表現

Representation of chyluria test in trauma-related fracture patients with fat embolism syndrome

在創傷導致長骨骨折與脂肪栓塞為常見的共同疾病（co-morbidities），而部分患者可能進展為脂肪栓塞綜合症（FES），過去文獻顯示約有1.2％至15％不等的死亡率，然而體內栓塞的脂肪，是否會透過尿路系統排出，目前仍未清楚了解，因此本研究希望能從臨床的尿液檢體，及乳糜尿試驗檢測方法，評估於骨折病患中的關聯性。在研究結果發現，68位骨折病患的乳糜尿陽性率約為33.8％其中以肱骨骨折有54.5％陽性率為最高；且於72小時內，進行第二次乳糜尿的檢查，約有27％的陽性增加率。

Traumatic injury and fat embolism were considered as common co-morbidities and parts of patients should exist and develop to Fat Embolism Syndrome (FES). As previous studies, the attributed mortality was shown as 1.2% to 15%. Whether the body's fat embolism will be discharged through the urinary system exist uncertainty. Therefore, the present study aimed to evaluate the association between clinical urine samples and chyluria test in fracture patients. Our results demonstrated that the positive rate of chyluria was approximately 33.8% in 68 fracture patients and 54.5% for humerus fracture. In addition, the second chyluria test within 72 hours showed an ascending difference of positive rate as 27%.