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整脊师实施脊柱推拿导致危及生命的血气胸病例报告

A Case Report of Life-Threatening Hemopneumothorax as a Result of Spinal Manipulation Performed by Chiropractor.

作者信息

Khatib Sohaib, Sabobeh Taher, Abdalla Khalid, Kulkarni Salil

机构信息

Internal Medicine, University of Missouri Kansas City School of Medicine, Kansas City, USA.

Pulmonary and Critical Care Medicine, University of Missouri Kansas City School of Medicine, Kansas City, USA.

出版信息

Cureus. 2021 Sep 16;13(9):e18031. doi: 10.7759/cureus.18031. eCollection 2021 Sep.

DOI:10.7759/cureus.18031
PMID:34692274
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8523197/
Abstract

Chiropractic is a very popular alternative medicine practice in the United States. Despite that, this practice has been associated with several complications raising concerns for its safety. We report the case of an otherwise healthy 36-years-old, tall and thin male who presented with sudden onset shortness of breath associated with chest pain two days after chiropractic spinal manipulation. Chest imaging revealed left-sided hemopneumothorax required treatment with left-sided chest tube placement. Patients with a high risk of developing primary or secondary pneumothorax should consider avoiding chiropractic chest or spinal manipulations due to possible complications.

摘要

整脊疗法在美国是一种非常流行的替代医学疗法。尽管如此，这种疗法已与多种并发症相关联，引发了对其安全性的担忧。我们报告一例病例，一名36岁、身材瘦高、原本健康的男性，在接受整脊脊柱推拿两天后，突然出现与胸痛相关的呼吸急促。胸部影像学检查显示左侧血气胸，需要放置左侧胸腔引流管进行治疗。由于可能出现并发症，有发生原发性或继发性气胸高风险的患者应考虑避免接受整脊胸部或脊柱推拿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38dc/8523197/5977a315fa70/cureus-0013-00000018031-i08.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38dc/8523197/cb5bc96c0fa5/cureus-0013-00000018031-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38dc/8523197/5977a315fa70/cureus-0013-00000018031-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38dc/8523197/2fa10aadabd2/cureus-0013-00000018031-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38dc/8523197/1fddd8865cfd/cureus-0013-00000018031-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38dc/8523197/57ae4bc2ac26/cureus-0013-00000018031-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38dc/8523197/8f73aed352ef/cureus-0013-00000018031-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38dc/8523197/8b21c3547548/cureus-0013-00000018031-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38dc/8523197/5b01810d8b4f/cureus-0013-00000018031-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38dc/8523197/cb5bc96c0fa5/cureus-0013-00000018031-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38dc/8523197/5977a315fa70/cureus-0013-00000018031-i08.jpg

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