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근육 내 자극 요법 후 발생한 의인성 기흉 2예

Two Cases of latrogenic Pneumothorax after Intra-Muscular Stimulation (IMS) Therapy

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2007, v.63 no.5, pp.444-448
손준광 (전남의대)
임성철 (전남대학교)
김유일 (전남대학교)
김영철 (한중대학교)
오인재 (전남의대)
정종필 (전남의대)
김수옥 (전남의대)
주진영 (전남의대)
임정환 (전남의대)
조계중 (전남의대)
채동렬 (전남의대)
김규식 (전남대학교)
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초록

저자 등은 대학 병원 응급실을 내원한 2명의 환자에서 근육내 자극 요법 후 부작용으로 발생한 의인성 기흉의 증례를 경험하였기에 보고하는 바이다.

keywords
Iatrogenic pneumothorax, Intra-muscular stimulation (IMS) therapy

Abstract

Recently, intra-Muscular Stimulation (IMS) therapy is being increasingly used for musculoskeletal pain. This procedure is generally regarded as a safe procedure for the general public. Some cases of iatrogenic pneumothorax caused by acupuncture have been reported in the medical literature. However, a case of an IMS therapy associated pneumothorax has not reported. We experienced two cases of iatrogenic pneumothorax after IMS therapy. A 62 year-old man received IMS therapy on the right shoulder due to posterior neck pain. After IMS therapy, acute dyspnea and chest discomfort developed. The other patient was a 74 year-old woman who also received IMS therapy. This patient experienced a nonproductive cough and acute dyspnea after the treatment. As the popularity of this form of alternative medicine increases, we might expect to see more cases of iatrogenic pneumothorax. Physicians should be aware of the adverse events associated with IMS therapy. (Tuberc Respir Dis 2007;63:444-448)

keywords
Iatrogenic pneumothorax, Intra-muscular stimulation (IMS) therapy

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Tuberculosis & Respiratory Diseases