a Office of Science, Center for Tobacco Products , U.S. Food and Drug Administration , Silver Spring , MD , USA.
b Central Ohio Poison Center , Nationwide Children's Hospital , Columbus , OH , USA.
Clin Toxicol (Phila). 2018 Jun;56(6):442-445. doi: 10.1080/15563650.2017.1400556. Epub 2017 Nov 13.
Over the past decade, smoking behaviors have changed in the US. Hookah or waterpipe smoking is increasing, especially among youth and young adults. Social media sites describe the "hookah high" or "buzz", which may be related to nicotine, carbon monoxide, or other inhalants in hookah smoke. Most important is the risk of carbon monoxide poisoning. Case reports include a high number of victims presenting with loss of consciousness from either syncope or seizures. Anaphylaxis and a very rare respiratory hypersensitivity reaction, acute eosinophilic pneumonia, have also been reported from hookah smoking in previously healthy young adults. This article provides background information on hookah smoking, describes hookah-induced acute injuries that could precipitate poison center calls, and offers suggestions for exposure characterization.
在过去的十年中，美国的吸烟行为发生了变化。水烟或水烟管吸烟正在增加，尤其是在青少年和年轻人中。社交媒体网站描述了“水烟快感”或“兴奋”，这可能与水烟烟雾中的尼古丁、一氧化碳或其他吸入物有关。最重要的是一氧化碳中毒的风险。病例报告包括大量因晕厥或癫痫发作而失去意识的患者。在以前健康的年轻成年人中，也有报道称水烟会引起过敏反应和非常罕见的呼吸过敏反应，即急性嗜酸性粒细胞性肺炎。本文提供了水烟吸烟的背景信息，描述了可能引发中毒中心电话的水烟引起的急性损伤，并提出了暴露特征的建议。
