加拿大的一名青少年出現(xiàn)了“爆米花肺”癥狀

加拿大的一名青少年出現(xiàn)了“爆米花肺”癥狀

A 17-year-old boy in Canada has been treated for a life-threatening popcorn lung-likeillness after vaping flavored e-liquids and THC.

加拿大一名17歲的男孩在吸食了加味電子煙和大麻中的主要精神活性成分四氫大麻酚后，患上了一種危及生命的爆米花肺部疾病。

A new report, published in the Canadian Medical Association Journal on Wednesday, details how this case of bronchiolitis appears distinct from other vaping-related lung injury cases identified in the United States because the case might have been vaping-related popcorn lung.

周三發(fā)表在《加拿大醫(yī)學(xué)協(xié)會(huì)雜志》上的一份新報(bào)告詳細(xì)介紹了細(xì)支氣管炎病例與美國發(fā)現(xiàn)的其他與電子煙有關(guān)的肺損傷病例的區(qū)別，因?yàn)檫@些病例可能是電子煙有關(guān)的爆米花肺。

Popcorn lung, or bronchiolitis obliterans, is an inflammatory condition that affects the bronchioles, tiny airways in the lungs. The name is in reference to former microwave-popcorn factory workers who developed bronchiolitis obliterans after breathing in vapor from butter flavoring added to the popcorn.

爆米花肺，或閉塞性細(xì)支氣管炎，是一種炎癥性疾病，影響細(xì)支氣管，肺部的小氣道。這個(gè)名字來源于前微波爐爆米花工廠的工人，他們?cè)谖氡谆ㄖ刑砑拥狞S油味后患上了閉塞性細(xì)支氣管炎。

"This patient had severe, acute bronchiolitis, possibly related to inhalational injury from vaping, with several features suggestive of subsequent early bronchiolitis obliterans," the medical team from Lawson Health Research Institute and University Health Network, who were involved in the patient's care, wrote in the new case report.

“這名患者患有嚴(yán)重的急性細(xì)支氣管炎，可能與蒸汽吸入性損傷有關(guān)，有幾個(gè)特征提示隨后出現(xiàn)了早期閉塞性細(xì)支氣管炎，”參與患者護(hù)理的羅森衛(wèi)生研究所和大學(xué)衛(wèi)生網(wǎng)絡(luò)的醫(yī)療小組在新病例報(bào)告中寫道。

"This case of acute, life-threatening bronchiolitis resulting in fixed, chronic airflow obstruction in a previously healthy youth highlights the need for further research on the epidemiology of e-cigarette use, its addictive potential, and the short- and long-term risks and mechanisms of injury associated with vaping," they wrote.

他們寫道:“這名原本健康的年輕人患上了急性的、危及生命的細(xì)支氣管炎，導(dǎo)致固定的、慢性的氣流阻塞。這一病例突出表明，有必要對(duì)電子煙使用的流行病學(xué)、電子煙的成癮性、電子煙的短期和長期風(fēng)險(xiǎn)以及與電子煙相關(guān)的損傷機(jī)制進(jìn)行進(jìn)一步的研究。”

A case of possible 'popcorn lung'

一例可能的“爆米花肺”

The patient developed a severe cough that caused him to seek medical attention, according to the report. He said he worked at a fast-food restaurant and did not use alcohol or smoke cigarettes, but he vaped daily for the last five months.

據(jù)報(bào)道，這名患者出現(xiàn)嚴(yán)重咳嗽，導(dǎo)致他尋求醫(yī)療救助。他說他在一家快餐店工作，不喝酒也不抽煙，但在過去的五個(gè)月里，他每天都吸電子煙。

As the patient's symptoms progressed, he eventually had trouble breathing, malaise and nausea. He was admitted to a community hospital where physicians looked at his lungs in a radiograph and found concerning "diffuse micronodular opacities."

隨著病人癥狀的進(jìn)展，他最終出現(xiàn)呼吸困難、全身乏力和惡心。他住進(jìn)了一家社區(qū)醫(yī)院，那里的醫(yī)生用x光片檢查了他的肺部，發(fā)現(xiàn)他有“彌漫性小結(jié)節(jié)性混濁”。

His symptoms persisted and he ended up being put on an extracorporeal membrane oxygenation, or ECMO, machine that helped him breathe. The patient was even transferred on ECMO to a lung transplant center for further evaluation. Following that transfer, he received additional care, saw improvements in his health and then was discharged home after a total 47 days in the hospital.

他的癥狀一直持續(xù)著，最后不得不借助體外膜氧合(ECMO)設(shè)備來幫助呼吸?；颊呱踔镣ㄟ^ECMO轉(zhuǎn)到肺移植中心進(jìn)行進(jìn)一步評(píng)估。在那次轉(zhuǎn)移之后，他接受了額外的護(hù)理，他的健康狀況有所改善，在醫(yī)院住了47天后出院回家。

'Our own new generation of lung diseases'

“我們自己的新一代肺部疾病”

The medical team notes in the report that the case may represent one specific way certain vaping behaviors could impact the lungs.

醫(yī)療小組在報(bào)告中指出，該病例可能代表了某些吸電子煙行為可能影響肺部的一種特定方式。

There have been separate reports that popcorn lung may be tied to certain vaping behaviors.

有單獨(dú)的報(bào)道稱爆米花肺可能與某些吸電子煙行為有關(guān)。