DOI QR코드

DOI QR Code

견갑골 내측 부 자침으로 야기된 기흉 1례

A Case Report on Pneumothorax Caused by Interscapular Area Acupuncture

  • 성희진 (세명대학교 부속충주한방병원 침구의학과) ;
  • 임수지 (세명대학교 부속충주한방병원 침구의학과) ;
  • 최현영 (세명대학교 부속제천한방병원 침구의학과) ;
  • 이은용 (세명대학교 부속충주한방병원 침구의학과) ;
  • 노정두 (세명대학교 부속제천한방병원 침구의학과) ;
  • 이참결 (세명대학교 부속충주한방병원 침구의학과)
  • Sung, Hee Jin (Department of acupuncture & moxibustion medicine, chung-ju hospital of oriental medicine, semyung university) ;
  • Lim, Su Sie (Department of acupuncture & moxibustion medicine, chung-ju hospital of oriental medicine, semyung university) ;
  • Choi, Hyun Young (Department of acupuncture & moxibustion medicine, je-cheon hospital of oriental medicine, semyung university) ;
  • Lee, Eun Yong (Department of acupuncture & moxibustion medicine, chung-ju hospital of oriental medicine, semyung university) ;
  • Roh, Jung Du (Department of acupuncture & moxibustion medicine, je-cheon hospital of oriental medicine, semyung university) ;
  • Lee, Cham Kyul (Department of acupuncture & moxibustion medicine, chung-ju hospital of oriental medicine, semyung university)
  • 투고 : 2016.11.05
  • 심사 : 2016.12.09
  • 발행 : 2016.12.20

초록

Objectives : The purpose of this study was to report the case prognosis and evaluate treatment and prevention of pneumothorax after acupuncture treatment. Methods : A 32-year-old slender male complained of pain in the interscapular area. As a result, acupuncture needling and manual technique were performed to trigger the points of trapezius and rhomboid muscles. After this, chest pain and dyspnea occurred. Pneumothorax was confirmed by chest radiography and symptom progression was observed for 14 days while high pressure oxygen was administered. Results : The chest pain disappeared after 4 days of pneumothorax, and most of the related symptoms disappeared after 14 days. Conclusion : For acupuncture treatment to the interscapular area, the depth and manual technique should be carefully performed.

키워드

참고문헌

  1. Korean Acupuncture & Moxibustion Medicine Society Textbook Compilation Committee. The acupuncture and moxibustion medicine. Gyeonggi : Jipmoondang. 2012 : 15-7, 89-92.
  2. Korea Institute of Oriental Medicine Acupuncture and Meridian Science Research Center. An Introduction to Western Medical Acupuncture. Seoul : Elsevier Korea. 2010 : 129-37
  3. Lee SH, Choi DY, Lee YH. A case report on the traumatic pneumothorax associated with acupuncture. The Acupunct. 2001 ; 18(4) : 205-11.
  4. Choi WI. Pneumothorax. Tuberc Respir Dis. 2014 ; 76 : 99-104. https://doi.org/10.4046/trd.2014.76.3.99
  5. Choi SY, Moon MH, Kwon JB, Kim YH. Clinical analysis of latrogenic pneumothorax. Korean J Thorac Cardiovasc Surg. 2009 ; 42 : 744-8.
  6. Demir M, Oruc M, Dalli A, Kaya H, Karadeniz G. A rare complication of acupuncture : pneumothorax. Tuberk Toraks. 2014 ; 62(4) : 316-8. https://doi.org/10.5578/tt.8054
  7. Cummings M, Ross-Marrs R, Gerwin R. Pneumothorax complication of deep dry needling demonstration. Acupunct Med. 2014 ; 32 : 517-9. https://doi.org/10.1136/acupmed-2014-010659
  8. Antonio PMDE, Joao NT, Juliana LC, Jose EO. Pneumothorax sustained during acupuncture training : a case report. Acupunct Med. 2014 ; 32 : 514-6. https://doi.org/10.1136/acupmed-2014-010642
  9. David AH, Robert TK, Erika S, Alexis M, Susan R, Jennifer MW. Acupuncture-related pneumothorax. Med Acupunct. 2014 ; 26(4) : 241-5. https://doi.org/10.1089/acu.2013.1022
  10. Zhang J, Shang H, Gao X, Ernst E. Acupuncture-related adverse events : a systematic review of the Chinese literature. Bull World Health Organ. 2010 ; 88(12) : 915-21. https://doi.org/10.2471/BLT.10.076737
  11. Back YD, Ku SK, Choi SH. The thickness in the superficial group of back muscle : the implication of pneumothorax. The Journal of East-West Medicine. 2010 ; 35(4) : 111-5.
  12. Kim K, Lee KM, Kim KT. Measurement of distance from skin to pleural cavity in interscapular intercostal space. J Korean Acad Rehab Med. 2002 ; 26 : 781-4.
  13. Lee YJ, Bae JI, Lee MJ. Positional relationships between thoracic pleura and acupuncture points and ashixues may cause pneumothorax -In the point of chest simple X-ray-. J Oriental Rehab Med. 2003 ; 13(4) : 111-21.
  14. Lin JG, Chou PC, Chu HY. An exploration of the needling depth in acupuncture : The safe needling depth and the needling depth of clinical efficacy. Evid Based Complement Alternat Med. 2013 ; 2013 : 1-21.
  15. British Thoracic Society Pleural Disease Guideline Group. BTS pleural disease guideline 2010. Volume 2. London : British Thoracic Society. 2010 : 5-6.

피인용 문헌

  1. Cellulitis and Ankle Joint Synovitis after Acupuncture at BL60: A Case Report vol.38, pp.4, 2016, https://doi.org/10.14406/acu.2021.022