你所需要知道的吸電子煙疾病爆發

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最近更新:1/16/20

吸電子煙所引起的突發性嚴重肺部疾病,在美國已經影響數千人1,並成為公共健康危機。幾乎所有患者都已住院,所接受的治療包括醫學人工昏迷2 3 4、呼吸機5及高級救命術介入治療。6 7 8

肺損傷患者在確診前曾經歷一系列症狀,醫生已治療過的患者具有從呼吸困難9到類似化學灼傷的肺損傷等各種嚴重症狀。10  目前的調查尚未揭開吸電子煙疾病爆發的確切原因,無論是由於電子煙的煙液或從電子煙設備本身釋放的有毒化學物質所引起的。11  但下列是一些現在已經知道的:

  • 到目前為止,吸電子煙的肺部疾病在50州中已提報2,668例12,其中包括加州的170多例13
  • 全美已確認吸電子煙死亡的有60例,包括在加州有4例14 15
  • 凡是含有四氫大麻酚(THC)的產品,特別是從街上或其他非正式管道(例如來自朋友、家人或非法交易商)獲得的產品,會與大多數的病例有所關連,並在疫情爆發中起主要作用。然而,在電子煙煙液中與肺部疾病相關的成分包括尼古丁、四氫大麻酚(THC)及大麻二酚(CBD)。 許多人報稱自己吸食大麻和尼古丁的混合物。16 17
  • 三分之一的患者需要呼吸機來維持生命。18
  • 三分之二的患者年齡在18至34歲之間。19
  • 大多數是男性。20

有關特定於加州的吸電子煙疾病爆發信息的每週最新報吿,請瀏覽加州公共健康部門網站並下載吸電子煙相關性肺損傷的每週更新英文報告(VAPI Weekly Update Report)。

由於吸電子煙而導致肺部損傷的人,通常在找醫生看病前其症狀已經開始出現數天到數週。21  所有住院患者都會出現某些種類型的呼吸問題,但有許多人也會出現其他症狀。根據健康受到影響的人所提報的症狀包括:

  • 咳嗽、呼吸急促或胸痛
  • 噁心、嘔吐、腹痛或腹瀉
  • 疲勞、發燒或無法解釋的體重減輕

如果你有吸電子煙並出現任何上述症狀,請立即去看醫生。請記住,你不必是位電子煙的長期使用者也會罹患肺部疾病,新用戶同樣會受到健康影響。22 23

需要幫助戒煙嗎?若需以華語協助,請致電ASQ華語戒煙專線1-800-838-8917或上網至www.asq-chinese.org。若需以英語協助,請致電1-844-8-NO-VAPE、上網至NoButts.org,或可點選“立即聊天”。

強烈建議在調查完成之前不要吸電子煙。對於選擇吸四氫大麻酚(THC)的人,只能從有執照的大麻零售商購買產品。切勿從街上非正式管道購買任何類型的電子煙或電子煙產品,尤其是含有四氫大麻酚(THC)的產品。消費者切勿改裝在商店購買的電子煙產品。

官員們也擔心,吸電子煙疾病在治療期間或後續治療時是否會增加發生流感或其他呼吸道病毒感染的風險。CDC美國疾病控制與預防中心建議,凡是年滿六個月以上的人都應該在10月底前接種流感疫苗,包括使用電子煙或電子煙產品的人。24

獲得更多來自CDC美國疾病控制與預防中心的吸電子煙疾病爆發信息。

其他英文資源:

References renameme

  1. Outbreak of Lung Injury Associated with E-Cigarette Use, or Vaping. https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html. Accessed October 17, 2019.
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  3. Steinbrecher, Lauren. “Nephi Teen Says Vaping Put Her in a Coma, Worst Case Doctors Had Seen.” Nephi Teen Says Vaping Put Her in a Coma, Worst Case Doctors Had Seen, Fox, 28 Aug. 2019, fox13now.com/2019/08/27/nephi-teen-says-her-vaping-put-her-in-a-coma-worst-case-doctors-had-seen/.
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  8. Iati, Marisa. “Her Temperature Spiked the Day She Decided to Stop Vaping. Now She's on Life Support.” The Washington Post, WP Company, 12 Sept
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  11. Grady, Denise. “Lung Damage From Vaping Resembles Chemical Burns, Report Says.” The New York Times, The New York Times, 2 Oct. 2019, www.nytimes.com/2019/10/02/health/vaping-illnesses.html.
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