Hirai K, Yamazaki Y, Okada K, Furuta S, Kubo K
Department of Internal Medicine, Nagano Municipal Hospital.
Intern Med. 2000 May;39(5):401-3. doi: 10.2169/internalmedicine.39.401.
We report a case of acute eosinophilic pneumonia (AEP). Although the patient had been a habitual cigarette smoker for over 4 months, he had had not any respiratory distress. After he inhaled smoke from fireworks for 3 consecutive nights, the patient began to complain of cough, fever and dyspnea. He showed leukocytosis of 16,200/microl and hypoxemia of 58.1 torr. Chest radiograph showed bilateral infiltrates with Kerley A and B lines. The bronchoalveolar lavage fluid revealed 38.5% eosinophils. He was diagnosed as AEP. In this patient, inhaling of smoke from fireworks was clinically suspected to be associated with the induction of AEP.
我们报告一例急性嗜酸性粒细胞性肺炎（AEP）。尽管该患者有超过4个月的习惯性吸烟史，但他此前并无任何呼吸窘迫症状。在连续3晚吸入烟花烟雾后，患者开始出现咳嗽、发热和呼吸困难。他的白细胞计数为16,200/微升，血氧分压为58.1托，存在低氧血症。胸部X线片显示双侧浸润影及克氏A线和B线。支气管肺泡灌洗 fluid显示嗜酸性粒细胞占38.5%。他被诊断为AEP。在该患者中，临床上怀疑吸入烟花烟雾与AEP的诱发有关。 （注：原文中“bronchoalveolar lavage fluid”未翻译完整，推测可能是“支气管肺泡灌洗液体”之类表述，这里按“fluid”翻译为“液体”，你可根据准确专业术语修改完善）
