一名18岁男性复发性自发性气胸与电子烟使用：病例报告及文献综述
Recurrent spontaneous pneumothoraces and vaping in an 18-year-old man: a case report and review of the literature.
作者信息
Bonilla Alex, Blair Alexander J, Alamro Suliman M, Ward Rebecca A, Feldman Michael B, Dutko Richard A, Karagounis Theodora K, Johnson Adam L, Folch Erik E, Vyas Jatin M
机构信息
Department of Medicine, Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
Department of Medicine, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
出版信息
J Med Case Rep. 2019 Sep 9;13(1):283. doi: 10.1186/s13256-019-2215-4.
BACKGROUND
Primary spontaneous pneumothorax is a common disorder occurring in young adults without underlying lung disease. Although tobacco smoking is a well-documented risk factor for spontaneous pneumothorax, an association between electronic cigarette use (that is, vaping) and spontaneous pneumothorax has not been noted. We report a case of spontaneous pneumothoraces correlated with vaping.
CASE PRESENTATION
An 18-year-old Caucasian man presented twice with recurrent right-sided spontaneous pneumothoraces within 2 weeks. He reported a history of vaping just prior to both episodes. Diagnostic testing was notable for a right-sided spontaneous pneumothorax on chest X-ray and computed tomography scan. His symptoms improved following insertion of a chest tube and drainage of air on each occasion. In the 2-week follow-up visit for the recurrent episode, he was asymptomatic and reported that he was no longer using electronic cigarettes.
CONCLUSIONS
Providers and patients should be aware of the potential risk of spontaneous pneumothorax associated with electronic cigarettes.
背景
原发性自发性气胸是一种常见于无潜在肺部疾病的年轻人的病症。尽管吸烟是自发性气胸的一个有充分记录的风险因素，但电子烟使用（即吸电子烟）与自发性气胸之间的关联尚未被注意到。我们报告一例与吸电子烟相关的自发性气胸病例。
病例介绍
一名18岁的白人男性在2周内两次因复发性右侧自发性气胸就诊。他报告在两次发作之前都有吸电子烟的历史。胸部X线和计算机断层扫描显示右侧自发性气胸，这在诊断检查中很明显。每次插入胸管并排出气体后，他的症状都有所改善。在复发性发作的2周随访中，他没有症状，并报告不再使用电子烟。
结论
医护人员和患者应意识到电子烟与自发性气胸相关的潜在风险。
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