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[针刺治疗哮喘危象。气胸发作并发展为哮喘持续状态的可能作用]

[Treatment of an asthmatic crisis by acupuncture. Probable role in the onset of pneumothorax with development to status asthmaticus].

作者信息

Carette M F, Mayaud C, Houacine S, Milleron B, Toty L, Akoun G

出版信息

Rev Pneumol Clin. 1984;40(1):69-70.

PMID:6718946
Abstract

The onset of pneumothorax during acupuncture treatment has been reported since 1973. Usually unilateral, it occurs in patients free from any bronchopulmonary disease, and its consequences are therefore relatively benign. However, rare cases of bilateral pneumothorax have been reported since 1978, as well as a pneumothorax developing in asthmatic patients, with often dramatic consequences. A 15-year-old girl with a severe attack of asthma was treated by implantation of needles, and this coincided with the onset of a pneumothorax, and a subsequent state of status asthmaticus. A fatal outcome was only just avoided. The question is raised as to the technical quality of the implantations practised, as well as the validity and dangers of acupuncture in asthmatics, particularly during the acute attack.

摘要

自1973年以来,已有针刺治疗期间发生气胸的报道。气胸通常为单侧,发生于无任何支气管肺部疾病的患者,因此其后果相对较轻。然而,自1978年以来,已有双侧气胸的罕见病例报道,以及哮喘患者发生气胸的情况,其后果往往很严重。一名15岁患有严重哮喘发作的女孩接受了针刺植入治疗,与此同时发生了气胸,并随后进入哮喘持续状态。所幸只是避免了致命后果。这引发了关于所实施植入操作的技术质量以及针刺疗法对哮喘患者,尤其是在急性发作期间的有效性和危险性的质疑。

相似文献

1
[Treatment of an asthmatic crisis by acupuncture. Probable role in the onset of pneumothorax with development to status asthmaticus].[针刺治疗哮喘危象。气胸发作并发展为哮喘持续状态的可能作用]
Rev Pneumol Clin. 1984;40(1):69-70.
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[Bilateral pneumothorax in a young woman after acupuncture].[一名年轻女性针灸后双侧气胸]
Ned Tijdschr Geneeskd. 2002 Jan 26;146(4):172-5.
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[Pneumothorax developing as a result of acupuncture in the treatment of bronchial asthma].[针刺治疗支气管哮喘导致气胸]
Vrach Delo. 1989 May(5):101-2.
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Pneumothorax as a complication of acupuncture in the treatment of bronchial asthma.气胸作为针刺治疗支气管哮喘的一种并发症。
Ann Allergy. 1983 Sep;51(3):401-3.
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Bilateral tension pneumothoraces after acupuncture.针灸后双侧张力性气胸
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[Acupuncture as a cause of death (author's transl)].针刺作为死亡原因(作者译)
MMW Munch Med Wochenschr. 1981 Jan 16;123(3):97-8.
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[A new iatrogenic pathology: pneumothorax after acupuncture].[一种新的医源性病理:针灸后气胸]
Rev Pneumol Clin. 1984;40(3):197-9.
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[Risk factors and the prevention of status asthmaticus in bronchial asthma patients].[支气管哮喘患者哮喘持续状态的危险因素及预防]
Vutr Boles. 1987;26(5):105-8.
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[Complications of acupuncture (author's transl)].针灸的并发症(作者译)
Dtsch Med Wochenschr. 1976 Feb 13;101(7):241-3. doi: 10.1055/s-0028-1104069.
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Bilateral tension pneumothorax related to acupuncture.双侧张力性气胸与针刺相关。
Acupunct Med. 2013 Jun;31(2):242-4. doi: 10.1136/acupmed-2012-010284. Epub 2013 Feb 28.

引用本文的文献

1
Acupuncture-Related Pneumothorax.针刺相关性气胸
Med Acupunct. 2014 Aug 1;26(4):241-245. doi: 10.1089/acu.2013.1022.
2
Bilateral tension pneumothoraces after acupuncture.针灸后双侧张力性气胸
West J Med. 1991 Jan;154(1):102-3.