Iwadate Kimiharu, Ito Haruo, Katsumura Seiko, Matsuyama Nagahisa, Sato Keita, Yonemura Isamu, Ito Yohko
Department of International Health Development, Graduate School, Tokyo Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo 113-8519, Japan.
Leg Med (Tokyo). 2003 Sep;5(3):170-4. doi: 10.1016/s1344-6223(03)00052-x.
Acupuncture is one of the most popular complementary therapies in the world. Pneumothorax due to perforation of the lungs by needle insertion is one of the most common and serious complications of acupuncture treatment. Although there have been several case studies of pneumothorax induced by acupuncture, as far as we know there have been no reports on the pathological findings of autopsy cases. In this report, we describe the pathological findings of an autopsy case of bilateral tension pneumothorax after acupuncture. The patient suffered dyspnea and chest pain soon the completion of an acupuncture treatment, and died 90 min later. Several ecchymoses were macroscopically observed on the parietal pleura in the left and right thoracic cavity, suggesting that needles were inserted into the thoracic cavity and that the lungs were perforated. The many black spots we observed on the parietal pleura along the vertebral column microscopically consisted of a number of dust-like black pigments and macrophages containing these pigments. These spots seemed to have appeared because of the previous insertion of needles.
针灸是世界上最受欢迎的补充疗法之一。针刺导致肺穿孔引起的气胸是针灸治疗最常见且最严重的并发症之一。尽管已有多篇关于针灸诱发气胸的病例研究，但据我们所知，尚无关于尸检病例病理结果的报道。在本报告中，我们描述了一例针灸后双侧张力性气胸尸检病例的病理结果。患者在针灸治疗结束后不久即出现呼吸困难和胸痛，并于90分钟后死亡。在左右胸腔的壁层胸膜上肉眼可见多处瘀斑，提示针已刺入胸腔且肺已穿孔。我们在沿脊柱的壁层胸膜上显微镜下观察到的许多黑点，由大量尘埃样黑色色素和含有这些色素的巨噬细胞组成。这些黑点似乎是由于先前的针刺所致。
