The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지

A Report on Three Cases of Acupuncture Needles Found Remaining in Patients' Bodies

체내에서 침이 발견된 사례 보고

  • Yang, Na-Rae (Dept. of Oriental Internal Medicine, Dong-Guk University) ;
  • Kim, Mi-Kyung (Dept. of Oriental Internal Medicine, Dong-Guk University) ;
  • Choi, Dong-Jun (Dept. of Oriental Internal Medicine, Dong-Guk University) ;
  • Han, Chang-Ho (Dept. of Oriental Internal Medicine, Dong-Guk University)
  • 양나래 (동국대학교 한의학과 심계내과학교실) ;
  • 김미경 (동국대학교 한의학과 심계내과학교실) ;
  • 최동준 (동국대학교 한의학과 심계내과학교실) ;
  • 한창호 (동국대학교 한의학과 심계내과학교실)
  • Published : 2011.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : To report the cases of forgotten needles found in the patients' bodies since Dong-guk University Ilsan Hospital opened, and arouse considerable attention to prevent recurrence. Methods : Oriental medical doctors in the hospital has applied acupuncture on patients' bodies in case of need, and the other staffs removed the needles after treatment. Results : All the patients in the cases had cerebrovascular disease with paralysis, aphasia, cognitive disorder and disturbance of consciousness as well as dysphagia requiring gastrotomy tube and dysfunction of respiration requiring tracheal cannula. The pathways the acupuncture needles were passing through are presumed to be transtracheal via the hole of tracheal cannula in two cases, and transgastrointestinal via mouth or the opening of gastrotomy tube. The needle was excreted with stool without any harm to the patient in the latter case, while the impact of the needles on the respiratory system or thorax of the patients in the former two cases is ambiguous. The hospital has taken some measures to prevent recurrence. Conclusions : There are not a few at high-risk of occurrence of forgotten needles that might induce medical problems among patients in oriental medical clinics or hospitals. Authors expect this report arouses all the people involved in the whole procedure of acupuncture treatment, including oriental medical doctors, nurses, nurse-assistants and caregivers considerable attentions to the possible occurrence and risk of forgotten needles.

Keywords

References

  1. 양계주. 침구대성교역. 서울: 대성문화사; 1996, p. 575.
  2. NIH Consensus Development Panel on Acupuncture. Acupuncture. JAMA. 1998;Nov4. 280(17):1518-24. https://doi.org/10.1001/jama.280.17.1518
  3. 박정미, 박성욱, 정우상, 문상관, 고창남, 조기호, 등. 침치료직후자가설문지를이용한침반응과부작용에 대한 단면연구. 대한한의학회지. 2007;28(2):66-79.
  4. White A. A cumulative review of the range and incidence of significant adverse events associated with acupuncture. Acupunct Med. 2004;22:122-33. https://doi.org/10.1136/aim.22.3.122
  5. White A. The safety of acupuncture-evidence from the UK. Acupunct Med. 2006;24(suppl):S63-7.
  6. 국민건강보험공단, 건강보험심사평가원. 2008 건강보험통계연보. 2009, p. 132.
  7. MacPherson H, Thomas K, Walters S, Fitter M. The York acupuncture safety study: prospective survey of 34000 treatments by traditional acupuncturists. BMJ. 2001;323:486-7. https://doi.org/10.1136/bmj.323.7311.486
  8. White A, Simon Hayhoe, Hart A, Ernst E. Adverse events following acupuncture: prospective survey of 32 000 consultations with doctors and physiotherapists. BMJ. 2001;323-485.
  9. Yamashita H, Tsukayama H, Tanno Y, Nishijo K. Adverse Events Related to Acupuncture. JAMA. 1998;280(18):1563-4. https://doi.org/10.1001/jama.280.18.1563
  10. Zhang J, Shang H, Fao X, Ernst E. Acupuncture-related adverse events: a systematic review of the Chinese literature. Bull World Health Organ. 2010;88: 915-21. https://doi.org/10.2471/BLT.10.076737
  11. 황은구, 김범식, 조규석, 박주철. 침에의한농흉 2례보고. 대한흉부외과학회지. 2001;34:101-3.
  12. 고무성, 이섭, 박기성. 우연히 발견된 폐내 이물의 수술적 치료. 대한흉부외과학회지. 2006;39:248-50.
  13. 한주희. 최승호. 기관식도이물. 대한기관식도학회지. 2009;15(2):11-8.
  14. 고무성, 이섭, 박기성. 우연히 발견된 폐내 이물의 수술적 치료. 대한흉부외과학회지. 2006;39:248-50.
  15. 김성환, 장인석, 양준호, 문성호, 이정은, 김종우. 폐내 이물의 수술적 제거 2례 보고. 대한흉부회과학회지. 2007;40:645-7.
  16. 한국보건사업진흥원. 2008 보건산업백서. 서울: 도서출판 한학문화; 2009, p. 575.
  17. 조기현 외. 뇌졸중. 서울: 뇌졸중학회; 2009, p. 417-20.
  18. 김이형, 최천웅, 최혜숙, 박명재, 강홍모, 유지홍, 등. 기도흡인위험도에 따른 성인의 기도 내이물의 임상적 특징. Tuberc Respir Dis. 2008;64(5):356-61. https://doi.org/10.4046/trd.2008.64.5.356