蒸汽诱发的急性表炎:一个病例报告
Amir Khorrami1, Mohammad Ali Khorrami2, Heitham Gheriani3
1Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. amirkho@student.ubc.ca.
International journal of emergency medicine
|September 5, 2023
概括
电子烟可能会导致成人急性表炎,即使没有感染. 医生应该考虑使用电子烟来诊断表膜炎,因为这个案例显示了一个年轻的成年人在治疗后康复.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
- 毒理学 毒理学 毒理学
背景情况:
- 在年轻人中,电子烟的使用 (vaping) 正在增加.
- 电子烟对上呼吸道的不良影响尚未得到充分研究.
- 急性表皮膜炎是一种严重的疾病,可以导致呼吸道阻塞,通常是由于细菌感染.
研究的目的:
- 报告与vaping相关的年轻成年人急性表炎病例.
- 突出表炎的非传染性原因的可能性.
- 建议使用电子烟作为表炎的差异诊断.
主要方法:
- 一个以前健康的29岁男性每天使用电子烟的案例报告.
- 呈现出严重的喉痛,消化不良,声和呼吸短促.
- 诊断工作包括横向部放射,直接喉腔镜和传染性擦拭物 (阴性链球菌和COVID-19).
主要成果:
- 射线图显示了加厚的上耳带有"大指标".
- 喉腔镜检查显示,上下垂体胀,导致呼吸道部分阻塞.
- 患者通过静脉注射德甲和抗生素得到改善,症状完全消失.
结论:
- 这是第二个与vaping相关的表膜炎病例,没有发现传染病因.
- 在急性和亚急性表膜炎的差异诊断中,应考虑使用电子烟.
- 需要进一步研究吸烟引起的表炎的抗生素疗效.
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