Liver damage
About acupuncture improper damage the liver, early in the “Q • ban on gill” had “stabbed in the liver, the 5th dead, and the dynamic of language,” said. Modern clinical practice, in both the liver and other organs stabbing reported more pure rare incidents of liver injuries. Some acupuncture books, such as Shanghai Traditional Chinese Medicine, ed. “Acupuncture” (1974 edition) also mentioned such damage. Because the liver injury, often accompanied by severe hemorrhagic shock, and because of leakage of bile into the abdominal cavity and can cause bile peritonitis and secondary infections, such conduct is not accurate treatment, serious consequences, so hope this full attention.
[Injury]
Liver on the right side below the diaphragm and rib quarter deep, protected by the rib cage and diaphragm, not easily hurt. Mm needle hurt the liver, with the following causes.
First, the point Cause: The liver is the largest solid organ in the body, transverse diameter of 25cm. Mostly in the upper abdomen, small parts which reach beyond the midline of the left upper quadrant. Upper bound in the right midclavicular line flat on the edge of the fifth rib, the lower bound of Qi right costal margin, the lower edge of the right lobe of the liver in the upper abdomen up to the xiphoid and umbilicus midline midpoint.
Easily lead to liver damage points: dove tail, Juque, Shangwan, right on the door, sun and moon, Zhang doors.
Second, the pathological causes: liver may be due to infection or infectious causes swelling occurs, with the degree of swelling increases, it relates to the body surface points can be increased, the needle in the abdominal, lower abdominal and near the kidney, stomach The acupuncture points are likely to hurt. Meanwhile liver tissue is relatively weak, lesions, liver cell degeneration, surface roughness, and more susceptible to damage. Especially cirrhosis of the liver, due to liver cell degeneration, necrosis, newborn, and accompanied by diffuse inflammation and connective tissue proliferation, improper acupuncture, particularly severe way, it is likely to rupture.
Third, the operation Cause: The above points, acupuncture too deep or in the wrong direction, way too heavy, repeated mention plug, etc., can hurt. In particular, the clinical lesions often mistakenly due to hardening of the liver as a “lump” to take needle to blood Sanjie mention pound, more serious consequences.
Clinical manifestations
Mild: means less damage than a single person. At this point the liver bleeding is often small, confined to the liver capsule hematoma under without obvious symptoms of peritoneal irritation. Manifested as liver pain, or tenderness, pain relief may be to the back, may have enlargement of the liver palpation.
Severe: severe injury or multiple injuries, can cause local tissue necrosis, or even rupture of the liver, bile overflow and larger amounts of bleeding. Blood and bile into the abdominal cavity, peritoneal stimulation, severe abdominal pain and right abdominal muscle tension, tenderness and rebound tenderness; stimulate the diaphragm, there are hiccups and right shoulder pain involved. Severe difficulty breathing, pale lips, thirst, nausea, restlessness, and into a state of shock. Percussion: You Fu has voiced and shifting dullness.
X-ray examination: Show shadows enlarged liver, elevated diaphragm. Laboratory tests: red blood cell count, hemoglobin and hematocrit are prompted for anemia. Permit complex situation, we can use abdominal puncture, or even laparotomy to be confirmed.
[Prevention]
Liver on the right side below the diaphragm and rib quarter deep, protected by the rib cage and diaphragm, not easily hurt. Mm needle hurt the liver, with the following causes.
First, the point Cause: The liver is the largest solid organ in the body, transverse diameter of 25cm. Mostly in the upper abdomen, small parts which reach beyond the midline of the left upper quadrant. Upper bound in the right midclavicular line flat on the edge of the fifth rib, the lower bound of Qi right costal margin, the lower edge of the right lobe of the liver in the upper abdomen up to the xiphoid and umbilicus midline midpoint.
Easily lead to liver damage points: dove tail, Juque, Shangwan, right on the door, sun and moon, Zhang doors.
Second, the pathological causes: liver may be due to infection or infectious causes swelling occurs, with the degree of swelling increases, it relates to the body surface points can be increased, the needle in the abdominal, lower abdominal and near the kidney, stomach The acupuncture points are likely to hurt. Meanwhile liver tissue is relatively weak, lesions, liver cell degeneration, surface roughness, and more susceptible to damage. Especially cirrhosis of the liver, due to liver cell degeneration, necrosis, newborn, and accompanied by diffuse inflammation and connective tissue proliferation, improper acupuncture, particularly severe way, it is likely to rupture.
Third, the operation Cause: The above points, acupuncture too deep or in the wrong direction, way too heavy, repeated mention plug, etc., can hurt. In particular, the clinical lesions often mistakenly due to hardening of the liver as a “lump” to take needle to blood Sanjie mention pound, more serious consequences.
[Processing Method]
One, mild: the use of conservative treatment, the patient should be supine rest, proper application of hemostatic agents and analgesics, with liver protection drugs, diet, if necessary, with antibiotics. But should be closely observed, such as the liver continues to increase or appear progressive anemia, further examination should be transferred.
Second, severe: shall immediately transfer surgery, such as concurrent shock advised to carry out anti-shock therapy, bleeding violent, could quickly transfusion and bleeding. Subject shock improved, and then be surgical treatment, including removal of necrotic liver tissue, blood clots and clear intraperitoneal bile, repair suture wounds, full stop bleeding and reliable drainage.
The prognosis of liver injury and damage extent and timely and accurate treatment are closely related, so once the needle hurt, you must quickly determine the severity of symptoms, provide effective treatment.