摘要
目的:探讨天突、气舍穴局部解剖与针刺安全的关系。方法:采用小号克氏针标定法和层次解剖法在46具正常成人尸体上、左右共92侧解剖观测了天突和气舍穴针刺途径的局部解剖特点。结果:50·0%的标本胸骨柄后的两侧胸膜返折部相交在胸骨角平面,6·5%的标本两侧胸膜返折部相交在第1肋平面;天突针刺途径的局部解剖观测结果为43·5%的标本左头臂静脉上缘平齐或接近胸骨柄上缘,56·5%的标本左头臂静脉上缘平齐于胸骨柄中部;在气舍穴的钢针穿刺中观察到有68侧标本颈内静脉被刺穿,占73·9%,有24侧标本的左颈总动脉被刺损,占26·1%;并有约50侧标本的迷走神经被钢针触及,占54·3%。结论:天突和气舍的针刺操作不仅仅易伤及上部胸膜腔,更易伤及上纵隔及颈根部的大血管、迷走神经等要害结构,应引起重视与警惕。
Objective To study on the relation between the regional anatomy and safety of acupuncture at Tiantu （CV 22） and Qishe （ST 11）. Methods In forty-six adult corpses, 92 sides were dissected to observe the partial anatomy structure of acupuncture path of Tiantu （CV 22） and Qishe （ST 11） and structure characteristics by the steel needle marked method and lay-by-lay dissection method. Results The bilateral the pleura returning lines behind the manubrium sterni interacted at the sternal angle plane accounted for 50.0% of the total specimens and at the first ribs plane accounted for 6. 5% of the specimens; for needling the point Tiantu （CV 22）, left brachiocephalic vein was at the same level or close to the manubrium sterni upper fringe in 43.5 % of the specimens, the left brachiocephalic vein and the middle of manubrium sterni were at the same level in 56.5% of the specimens; for needling the point Qishe （ST 11）, in 68 sides of the specimens, internal jugular vein were pierced, accounting for 73.9%, and in 24 sides of the specimens the left common carotid artery were pierced, accounting for 26.1% ; in 50 sides of specimens the vagus nerve were touched by the steel needle, accounting for 54.3%. Conclusion In acupuncture of Tiantu （CV 22） and Qishe （ST 11）, the needle not only easily injure the upper pleural cavity, but also damage the big blood vessel and the vagus nerve in the mediastinum and the cervical root.
出处
《中国针灸》
CAS
CSCD
北大核心
2007年第2期120-122,共3页
Chinese Acupuncture & Moxibustion
基金
福建省自然科学基金项目:C010021
关键词
穴
天突
穴
气舍
针刺疗法/方法
解剖学
局部
Point, CV 22 （Tiantu）
Point, ST 11 （Qishe）
Acupuncture Therapy/methods
Anatomy, Regional
