Evans Ruth Elizabeth, Herbert Sophie, Owen William, Rao Deepak
Medicine, King's College Hospital NHS Foundation Trust, London, UK
Medicine, Princess Royal University Hospital, Orpington, UK.
BMJ Case Rep. 2021 Apr 9;14(4):e240700. doi: 10.1136/bcr-2020-240700.
We present a case of a 38-year-old man with no medical comorbidities who presented to the hospital with haemoptysis and shortness of breath on a background of vaping home-manufactured cannabis oil. He developed e-cigarette or vaping product use-associated lung injury (EVALI) visible on chest X-ray requiring oxygen, and corticosteroid treatment before making a recovery. Research reports that the contents vitamin E acetate and tetrahydrocannabinol are frequently found in substances acquired from informal sources which increase the likelihood of EVALI developing. Further research into their synergistic effect is ongoing. Although safer than smoking, vaping is not risk free and EVALI should be considered in patients presenting with respiratory disease.
我们报告一例38岁男性病例,该患者无其他合并症,因在家吸食自制大麻油后出现咯血和呼吸急促而入院。他出现了电子烟或雾化产品使用相关肺损伤(EVALI),胸部X线可见病变,需要吸氧,并接受皮质类固醇治疗后才康复。研究报告称,从非正式渠道获得的物质中经常发现维生素E醋酸酯和四氢大麻酚,这增加了发生EVALI的可能性。关于它们协同作用的进一步研究正在进行中。虽然电子烟比吸烟更安全,但并非没有风险,对于出现呼吸系统疾病的患者应考虑到EVALI。