{"id":2359,"date":"2014-10-08T16:03:03","date_gmt":"2014-10-08T16:03:03","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/cirfes\/"},"modified":"2026-04-08T20:21:15","modified_gmt":"2026-04-08T20:21:15","slug":"cirfes","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/es\/cirfes\/","title":{"rendered":"Criterios para el Diagn\u00f3stico del S\u00edndrome de Embolia Grasa (SEG)"},"content":{"rendered":"<div class=\"7ca9444b8380138fe077da07353677a4\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>El s\u00edndrome de embolia grasa, es una condici\u00f3n caracterizada por hipoxia, infiltrados pulmonares bilaterales, y cambio del estado mental.<br \/>\n<!--more--><br \/>\n<strong>Criterios de Gurd y de Wilson<\/strong><br \/>\nCriterios Mayores<\/p>\n<ul>\n<li>Petequias axilares o subconjuntivales<\/li>\n<li>Hipoxemia (PaO2 &lt;60 mm Hg; FiO2 = 0,4)<\/li>\n<li>Depresi\u00f3n del sistema nervioso central desproporcionada a la hipoxemia<\/li>\n<li>Edema pulmonar<\/li>\n<\/ul>\n<p>Criterios menores<\/p>\n<ul>\n<li>Taquicardia &gt; 110 lpm<\/li>\n<li>Fiebre &gt; 38,5 \u00b0C<\/li>\n<li>\u00c9mbolos presentes en la retina en el fondo de ojo<\/li>\n<li>Grasa presente en la orina<\/li>\n<li>Ca\u00edda repentina e inexplicable en los valores de hematocrito o de plaquetas<\/li>\n<li>Aumento de la VSG<\/li>\n<li>Gl\u00f3bulos de grasa presentes en el esputo<\/li>\n<\/ul>\n<p>Para el diagn\u00f3stico de s\u00edndrome de embolia grasa, por lo menos un criterio mayor y cuatro criterios menores deben estar presentes.<\/p>\n<p><strong>Criterios de Schonfeld<\/strong><br \/>\nPuntuaci\u00f3n<\/p>\n<ul>\n<li>Petequias (5 puntos)<\/li>\n<li>Infiltrados difusos en la radiograf\u00eda de t\u00f3rax (4 puntos)<\/li>\n<li>Hipoxemia (3 puntos)<\/li>\n<li>Fiebre (1 punto)<\/li>\n<li>Taquicardia (1 punto)<\/li>\n<li>Taquipnea (1 punto)<\/li>\n<li>Confusi\u00f3n (1 punto)<\/li>\n<\/ul>\n<p>Score &gt; 5 es diagn\u00f3stico de SEG<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Bibliograf\u00eda:<\/strong><\/p>\n<ol>\n<li>Akhtar S. Fat embolism. Anesthesiol Clin. 2009 Sep;27(3):533-50.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19825491\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Glazer JL, Onion DK. Fat embolism syndrome in a surgical patient. J Am Board Fam Pract. 2001 Jul-Aug;14(4):310-3.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11458973\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Gurd AR, Wilson RI. The fat embolism syndrome. J Bone Joint Surg Br. 1974 Aug;56B(3):408-16.\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/4547466\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Liu S, Wu X, Zheng Y, Zhang A, Dai C, Pan L, Tu Q, Dai W, Tang W, Zhang H. Fat embolism syndrome: Never give up &#8211; A case report and literature review. Medicine (Baltimore). 2025 Aug 8;104(32):e43864. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40797400\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Creado Oct 14, 2014.<br \/>\nActualizado Abr 08, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>El s\u00edndrome de embolia grasa, es una condici\u00f3n caracterizada por hipoxia, infiltrados pulmonares bilaterales, y cambio del estado mental.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[148],"tags":[16,15,14,13,27,28,893,892,891,890,889,888,5,4,646],"class_list":["post-2359","post","type-post","status-publish","format-standard","hentry","category-critical-care","tag-criteria","tag-criterios","tag-diagnostic","tag-diagnostico","tag-embolism","tag-embolismo","tag-fat","tag-fes","tag-graso","tag-gurd","tag-schonfeld","tag-seg","tag-sindrome","tag-syndrome","tag-wilson"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2359","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/comments?post=2359"}],"version-history":[{"count":4,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2359\/revisions"}],"predecessor-version":[{"id":10740,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/posts\/2359\/revisions\/10740"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/media?parent=2359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/categories?post=2359"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/es\/wp-json\/wp\/v2\/tags?post=2359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}