Papadopoulos Georgios S, Tzimas Petros, Liarmakopoulou Antonia, Petrou Anastasios M
Department of Anesthesiology and Postoperative Intensive Care, Faculty of Medicine, School of Health Sciences, University of Ioannina, P.O. Box 1186, 45110, Ioannina, Greece.
Department of Anesthesiology and Postoperative Intensive Care, Faculty of Medicine, School of Health Sciences, University of Ioannina, P.O. Box 1186, 45110, Ioannina, Greece.
J Acupunct Meridian Stud. 2017 Jan;10(1):49-52. doi: 10.1016/j.jams.2016.06.003. Epub 2016 Jul 28.
We report a case of thoracic trauma (rib fractures with pneumothorax and pulmonary contusions) with severe chest pain leading to ineffective ventilation and oxygenation. The patient presented to our emergency department. The patient had chronic obstructive pulmonary disease and was completely unable to take deep breaths and clear secretions from his bronchial tree. After obtaining informed consent, we applied auricular acupuncture to ameliorate pain and hopefully improve his functional ability to cough and breathe deeply. Within a few minutes, his pain scores diminished considerably, and his ventilation and oxygenation indices improved to safe limits. Auricular acupuncture analgesia lasted for several hours. Parallel to pain reduction, hemodynamic disturbances and anxiety significantly resolved. A second treatment nearly a day later resulted in almost complete resolution of pain that lasted at least 5 days and permitted adequate ventilation, restored oxygenation, and some degree of mobilization (although restricted due to a compression fracture of a lumbar vertebra). Nonopioid and opioid analgesics were sparsely used in low doses during the entire hospitalization period. Hemodynamic alterations and anxiety also decreased, and the patient was soon ready to be discharged.
我们报告一例胸部创伤（肋骨骨折伴气胸和肺挫伤）病例，患者胸痛剧烈，导致通气和氧合功能障碍。该患者前来我院急诊科就诊。患者患有慢性阻塞性肺疾病，完全无法深呼吸，也无法清除支气管树中的分泌物。在获得知情同意后，我们采用耳针疗法来缓解疼痛，并期望改善其咳嗽和深呼吸的功能。几分钟内，他的疼痛评分显著降低，通气和氧合指标改善至安全范围。耳针镇痛持续了数小时。在疼痛减轻的同时，血流动力学紊乱和焦虑情绪也明显缓解。近一天后进行的第二次治疗几乎完全消除了疼痛，疼痛持续了至少5天，并使患者能够充分通气、恢复氧合，且有一定程度的活动能力（尽管因腰椎压缩性骨折而受限）。在整个住院期间，非阿片类和阿片类镇痛药的使用剂量都很少。血流动力学改变和焦虑情绪也有所减轻，患者很快就准备出院了。
