A Mortality Case of Acute Respiratory Distress Syndrome after Acupuncture

針灸後併發急性呼吸窘迫症候群導致死亡病例報告

李俊儒(Chun-Ju Lee) ； 蔡文泰(Wen-Tay Tsai)

《重症醫學雜誌》 9卷2期 (2008/06) Pp. 145-149

https://doi.org/10.30035/TCCM.200806.0009

摘要

針灸是亞洲地區最常見的傳統療法之一，氣胸是最嚴重的併發症之一，發生率依不同報告而異。但是因針灸引發氣胸而導致死亡的例子並不多見，一般認爲的理由是針灸用針很細，不足以導致嚴重氣胸。在此報告一死亡病例，患者是六十一歲男性，因爲長期頸、背部酸痛，所以接受上背部針灸治療。針灸後四小時因胸痛、呼吸困難，至本院求診。x光攝影顯示右側張力性氣胸合併左肺浸潤，經緊急放置胸管後，仍發生急性呼吸窘迫症候群。患者於針灸後二十四小時死亡。

關鍵字

針灸 ； 氣胸 ； 急性呼吸窘迫症候群

並列摘要

Acupuncture is one of most popular complementary therapies in Asia. Pneumothorax following acupuncture is one of the serious complications, but fatal consequences are rare to date. We report a 61-year-old male who suffered from right-side tension pneumothorax after acupuncture along the paraspinal region on the upper back for his chronic neck and back pain. Bilateral alveolar infiltration progressed subsequent to chest intubation for emergent decompression. Acute respiratory distress syndrome (ARDS) developed, and the patient died due to severe hypoxemia within twenty-four hours after acupuncture.

並列關鍵字

Acupuncture ； Tension pneumothorax ； Acute respiratory distress syndrome