Honet J E, Honet J C, Cascade P
Arch Phys Med Rehabil. 1986 Sep;67(9):601-3.
A patient developed pneumothorax after needle electrode examination of the paracervical muscles. Because such a complication appeared unlikely and had not been reported previously, we studied cadavers and examined cervical spine radiographs to assess the vulnerability of lung tissue to paracervical muscle needle insertion. Radiographs of the cervical spine were used to determine the depth and location of lung tissue. In five of 23 patient radiographs studied, lung tissue extended above the clavicle with a distance from skin surface to lung tissue of approximately 3.3 cm. The electromyographer examining the paracervical musculature should be aware that needle electrode penetration of lung tissue is possible. Examination must be conducted with care, especially in thin patients with long necks. Needle insertion close to the midline is the safest technique.
一名患者在进行宫颈旁肌肉针电极检查后发生气胸。由于这种并发症似乎不太可能发生且此前未曾有过报道，我们研究了尸体并检查了颈椎X光片，以评估肺组织对宫颈旁肌肉针刺入的易损性。颈椎X光片用于确定肺组织的深度和位置。在研究的23例患者X光片中，有5例肺组织延伸至锁骨上方，皮肤表面至肺组织的距离约为3.3厘米。检查宫颈旁肌肉组织的肌电图检查人员应意识到针刺电极有可能穿透肺组织。检查必须谨慎进行，尤其是对于颈部细长的瘦患者。靠近中线进针是最安全的技术。
