E-Cigarette or Vaping Product Use-Associated Lung Injury (EVALI) in an Active Duty Service Member

E-Cigarette or Vaping Product Use-Associated Lung Injury (EVALI) in an Active Duty Service Member
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DOI:
10.1093/milmed/usaa349
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发表时间:
2021-01-01
期刊:
影响因子:
1.2
通讯作者:
McCollum, Daniel J.
McCollum, Daniel J.
中科院分区:
医学4区
文献类型:
--
作者:
Colesar, Michael T.;McCollum, Daniel J.

文献摘要

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电子烟或vaping产品使用相关的肺损伤(EVALI)是一种正在发展的严重肺部疾病,与平民和现役人群中越来越多地使用vaping产品有关。本案例研究描述了一名使用无品牌电子烟产品的现役学员,他患上了急性呼吸窘迫综合征,需要插管和多日重症监护病房住院治疗。影像学中弥漫性毛玻璃样阴影、支气管肺泡灌洗中发现的脂质巨噬细胞、阴性感染性疾病检查和近期吸电子烟提示EVALI。这个案例表明,鉴于EVALI的危险,武装部队需要做更多的工作,以减少电子烟产品的使用。
E-cigarette or vaping product use-associated lung injury (EVALI) is a developing serious pulmonary disease associated with the increasing use of vaping products in both civilian and active duty populations. This case study describes an active duty trainee using unbranded vaping products who developed acute respiratory distress syndrome necessitating intubation and multiday intensive care unit hospitalization. Diffuse ground glass opacities in imaging, lipidladen macrophages found on bronchoalveolar lavage, negative infectious disease workup, and recent vaping indicate EVALI. This case demonstrates more work needs to be done within the Armed Forces to reduce use of vaping products given the danger of EVALI.