囊性纤维化中的“邦氏肺”：一例报告
"Bong lung" in cystic fibrosis: a case report.
作者信息
Gao Zoe, Wood-Baker Richard, Harle Robin, Muller Kon, Hauser Jenny, Reid David W
机构信息
Departments of Respiratory Medicine, Royal Hobart Hospital, Liverpool Street, Hobart, Tasmania, 7000, Australia.
出版信息
J Med Case Rep. 2010 Nov 19;4:371. doi: 10.1186/1752-1947-4-371.
INTRODUCTION
Marijuana or "bong" lung has been recently described. Subjects typically develop large peripheral paraseptal lung bullae and are predisposed to spontaneous pneumothoraces. The underlying mechanism for bullae formation is uncertain, but probably relates to direct lung toxicity and repeated barotrauma as the smoker performs frequent valsalva manoeuvres in an attempt to derive a greater drug effect.
CASE PRESENTATION
We describe a case of probable "bong lung" occurring in a 23-year-old Caucasian man with cystic fibrosis who had a history of recurrent pneumothoraces and unusual findings on sputum cytology.
CONCLUSION
Our case highlights the importance of questioning young adult cystic fibrosis patients about illicit drug use and the utility of sputum cytology and computed tomography scanning when patients present with pneumothoraces and deteriorations in clinical status.
引言
近期已报道了大麻或“水烟筒”肺。患者通常会出现较大的外周间隔旁肺大疱，且易发生自发性气胸。肺大疱形成的潜在机制尚不确定，但可能与直接的肺毒性以及吸烟者为获得更强药物效果频繁进行瓦尔萨尔瓦动作时反复发生的气压伤有关。
病例报告
我们描述了一例可能的“水烟筒”肺病例，患者为一名23岁患有囊性纤维化的白人男性，有复发性气胸病史且痰细胞学检查有异常发现。
结论
我们的病例强调了询问年轻成年囊性纤维化患者是否使用非法药物的重要性，以及当患者出现气胸和临床状况恶化时痰细胞学检查和计算机断层扫描的实用性。
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