Bilateral pneumothorax following acupuncture.

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL
Oxford Medical Case Reports Pub Date : 2025-04-28 eCollection Date: 2025-04-01 DOI:10.1093/omcr/omaf015
Masahiro Kashiura, Hideto Yasuda, Takashi Moriya
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引用次数: 0

Abstract

A 57-year-old female presented to our emergency department with dyspnoea and cough two hours after receiving acupuncture on both sides of her back for dizziness. Acupuncture was applied to 16 sites from the posterior neck to the back. The needles were 0.16 mm in diameter and 3 cm in length. On arrival, the patient was alert and oriented, with a respiratory rate of 28 breaths/min, heart rate of 90 bpm, blood pressure of 148/89 mmHg, and 92% peripheral oxygen saturation upon 5 L/min oxygen administration via a face mask in room air. Decreased breath sounds were noted bilaterally. Skin findings on the chest and back were normal. Computed tomography before drainage revealed bilateral pneumothorax with slight subcutaneous emphysema around the fifth and sixth ribs in the left chest (Fig. 1). Bilateral chest drains were inserted, which resulted in rapid improvement in respiratory status and good lung re-expansion. The drains were removed four days later, and the patient was discharged.

针刺后双侧气胸。
一名57岁女性,因头晕,在接受双侧背部针灸治疗2小时后,因呼吸困难和咳嗽来到急诊科就诊。从后颈部到背部,针刺16个部位。针直径0.16 mm,长3 cm。到达时,患者神志清醒,有方向感,呼吸频率28次/分钟,心率90 bpm,血压148/89 mmHg,通过面罩在室内空气中给氧5 L/min,外周血氧饱和度92%。双侧呼吸音减少。胸部和背部的皮肤检查结果正常。引流前的计算机断层扫描显示双侧气胸,左胸第五和第六肋骨周围有轻微的皮下肺气肿(图1)。双侧胸腔插入引流管,呼吸状态迅速改善,肺再扩张良好。四天后,引流管被移除,病人出院。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Oxford Medical Case Reports
Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
125
审稿时长
19 weeks
期刊介绍: Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.
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