Advances in the Forensic Pathology of Traumatic Pulmonary Fat Embolism and Its Identification Application
Pulmonary fat embolism(PFE)is a common secondary pathomorphological change after fracture and extensive adipose tissue injury,with an overall incidence of 82%-93%after trauma such as fracture.Due to lack of specific diagnosis through routine clinical examination and the inapparent and sudden onset of the disease,post-mortem histopathological examination is still used as the standard at present.Whether traumatic PFE is involved in death,its causal relationship with death,and the relationship between injury and disease are common issues faced in forensic practice.This review focuses on the assessment of the severity of traumatic PFE and the principles of post-mortem diagnosis.It summarizes common issues such as examination methods,orthopedic surgery,and the impact of cardiopulmonary resuscitation,in order to provide reference for forensic identification and research on traumatic PFE.