ABSTRACT
Se describe el caso de un paciente sometido a tratamiento con acupuntura y electroestimulación que sufrió un cuadro de neumotórax al terminar una de las sesiones. Se trata de un varón de 26 años, diagnosticado de fractura tercio distal del radio derecho tratado quirúrgicamente. En su evolución presentó algodistrofia de la muñeca y la mano derechas, fue sometido a tratamiento con acupuntura y electroestimulación y presentó, al terminar una de las sesiones, un neumotórax derecho. El interés que presenta este caso es la valoración pericial del nexo causal entre el neumotórax y el tratamiento con acupuntura, mediante el análisis de los criterios de causalidad médico-legal aplicables al caso. Aunque los efectos adversos graves debidos a la acupuntura son raros y la literatura médica no proporciona adecuados datos relacionados con la incidencia de tales complicaciones, la mayoría de los autores atribuyen el neumotórax, en general, a un error del terapeuta y no a los riesgos específicos de la acupuntura
A case-report of pneumothorax related to acupuncture therapy and electrostimulation is described. A 26-year-old male had an accident and as a result, a right distal radius fracture. After surgery, he developed algodystropy of the right wrist and hand and underwent treatment with acupuncture and electrostimulation. At the end of one of the sessions, he suffered an immediate right pneumothorax. The interest of this case is the expert evaluation of the causal connection between the pneumothorax and treatment with acupuncture by means of the analysis of the medical-legal causality criteria applicable to the case. Although serious adverse events due to acupuncture therapy are rare, the medical literature does not provide data about the incidence of such complications. The majority of the authors generally attribute the pneumothorax to an error by the therapist and not to the specific risks of the acupuncture
Subject(s)
Humans , Male , Adult , Pneumothorax/etiology , Acupuncture Therapy/adverse effects , Reflex Sympathetic Dystrophy/therapy , Transcutaneous Electric Nerve StimulationABSTRACT
A short gas-chromatographic method for analysing urinary concentrations of 2,5-hexanedione is based on acid hydrolysis of urine at pH below 0.1 and "purification" of the urine samples by microcolumns containing an octadecyl-silane phase. A 5% acetonitrile solution allows a fairly selective elution of 2,5-hexanedione from the microcolumns. Recovery of 2,5-hexanedione from urine is as great as 79.9%. The variation coefficient of the measurements is 2.8%. The results obtained from different working conditions and using packed or wide bore or capillary gas-chromatographic columns are reported.
