Peuker Elmar
Department of Anatomy, University of Muenster, Germany.
Acupunct Med. 2004 Mar;22(1):40-3. doi: 10.1136/aim.22.1.40.
Although recent prospective studies came to the conclusion that the incidence of adverse events following acupuncture can be classified as minimal, many cases of acupuncture-related pneumothorax have been published over the years, among them some cases of tension pneumothorax. In this case, a slender woman received acupuncture from a fully trained medical acupuncturist including needling of the points LU1 in the subacromial region and BL13, which is a paravertebral point at the level of the spinous process of the third thoracic vertebra. During the final treatment, she experienced difficulties in breathing and pain in the left chest. On x ray examination a tension pneumothorax was diagnosed. Even though pneumothorax is the most frequently reported serious complication related to acupuncture, it is not an inevitable complication of acupuncture, and in most cases involves negligence from inadequate consideration of basic anatomy.
尽管最近的前瞻性研究得出结论，针刺后不良事件的发生率可归类为极低，但多年来已发表了许多与针刺相关的气胸病例，其中一些是张力性气胸病例。在本病例中，一名身材苗条的女性接受了一名训练有素的医学针灸师的针刺治疗，包括针刺肩下区域的肺俞穴（LU1）和第三胸椎棘突水平的椎旁穴位风门穴（BL13）。在最后一次治疗期间，她出现呼吸困难和左胸痛。经X线检查诊断为张力性气胸。尽管气胸是与针刺相关的最常报告的严重并发症，但它并非针刺不可避免的并发症，而且在大多数情况下涉及对基本解剖结构考虑不足的疏忽。
