Eyüpoğlu Damla, Ortaç Ersoy Ebru, Rollas Kazım, Topeli Arzu
Intensive Care Unit, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Tuberk Toraks. 2017 Jun;65(2):154-156. doi: 10.5578/tt.10438.
Smoking heroin (chasing the dragon), is a method of inhaling heroin via heating the drug on a tin-foil above a flame. It also has been associated both with the indirect effects of heroin overdose and with direct pulmonary toxicity. We describe a case of acute eosinophilic pneumonia secondary to heroin inhalation in our medical intensive care unit. She presented with fever, cough, dyspnea and pleuritic chest pain. Chest radiograph showed bilateral infiltrations. Examination of bronchoalveolar lavage fluid revealed significant eosinophilia. She was diagnosed with acute eosinophilic pneumonia. After heroin abstinence and corticosteroid therapy, remission was achieved rapidly and the patient was discharge on the fourth day of her hospital stay.
吸食海洛因（追龙）是一种通过在火焰上的锡纸加热毒品来吸入海洛因的方法。它还与海洛因过量的间接影响以及直接的肺部毒性有关。我们在医疗重症监护病房描述了一例因吸入海洛因继发急性嗜酸性粒细胞性肺炎的病例。她出现发热、咳嗽、呼吸困难和胸膜炎性胸痛。胸部X光片显示双侧浸润。支气管肺泡灌洗 fluid检查显示嗜酸性粒细胞显著增多。她被诊断为急性嗜酸性粒细胞性肺炎。在戒除海洛因并接受皮质类固醇治疗后，迅速实现缓解，患者在住院第四天出院。 （注：原文中“bronchoalveolar lavage fluid”翻译为“支气管肺泡灌洗 fluid”，这里“fluid”疑似有误，可能是“fluid”应改为“fluid”，即“支气管肺泡灌洗液体” ）
