PDF(Pubmed)
Abstract：
Electronic cigarettes, a recent and burgeoning product, are gaining traction among the general population. However, despite their growing popularity, there is a lack of comprehensive research on their potential health risks. A prominent concern is EVALI (electronic cigarette or vaping product use-associated lung injury), a newly recognized condition currently under intense investigation. Here, we report the case of a 24-year-old male with a history of chronic smoking e-cigarettes and vaping products heavily over the past year. He sought urgent care at the emergency room due to symptoms that had been present for seven days before seeking medical attention. These symptoms included a sudden onset of difficulty breathing at rest, an intermittent dry cough producing a small amount of greenish sputum, and occasional episodes of mild hemoptysis. Chest radiograph showed bilateral diffuse infiltrates including almost innumerable tiny interstitial nodules. Multiple lobes of the lungs were affected by consolidations and patches of ground-glass opacities in the chest high-resolution computed tomography (HRCT) image. Throughout the following week, the patient\'s health showed gradual improvement with the aid of supportive measures and corticosteroid treatment. As part of the recovery plan, the patient was released with a gradually reducing regimen of oral corticosteroids and was scheduled for regular outpatient monitoring. The progression of the recovery was notable through enhancements in clinical symptoms, biological markers, and radiological findings.
摘要：
电子烟,一个新的和新兴的产品，正在普通人群中获得牵引力。然而,尽管他们越来越受欢迎，缺乏对其潜在健康风险的全面研究。一个突出的问题是EVALI（电子烟或电子烟产品使用相关的肺损伤），目前正在紧张调查中的一种新发现的情况。这里,我们报告了一例24岁的男性，他在过去一年中长期大量吸烟电子烟和电子烟。由于在寻求医疗护理之前已经出现了7天的症状，他在急诊室寻求紧急护理。这些症状包括休息时突然出现呼吸困难，间歇性干咳产生少量绿色痰，偶尔出现轻度咯血.胸部X光片显示双侧弥漫性浸润，包括几乎无数的微小间质结节。在胸部高分辨率计算机断层扫描（HRCT）图像中，肺部的多个肺叶受到合并和毛玻璃混浊的影响。在接下来的一周里，在支持措施和皮质类固醇治疗的帮助下，患者的健康状况逐渐改善。作为恢复计划的一部分,患者通过逐渐减少口服糖皮质激素的方案出院,并计划进行定期门诊监测.通过临床症状的改善，恢复的进展显着，生物标记,和放射学发现。
