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首页> 外文期刊>Cureus. >Oropharyngeal Bleeding Due to Cannabidiol Oil Vape Use
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Oropharyngeal Bleeding Due to Cannabidiol Oil Vape Use

机译：由于大麻油窗口使用，口咽出血

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Vaping has become an increasingly popular alternative to smoking in recent years. We present a rare and unusual case of upper airway bleeding caused by inhalation of a cannabidiol (CBD) oil-based vape due to a chemical burn. There are no case reports of this injury in the literature, and we discuss the clinical presentation, diagnosis and our management of this potentially life-threatening injury. A 27-year-old man presented to the accident and emergency department after using a CBD oil vape. After one inhalation of the CBD oil vape, the patient experienced immediate onset pain in the oropharynx, dyspnoea, expectoration of blood and hoarseness. The patient had used a CBD oil vape four?hours earlier that evening for the first time, which was procured from an unregulated online source. The patient was referred to the Ear, Nose and Throat (ENT)?team where the examination of oropharynx identified a posterior pharyngeal?bleeding point. Flexible nasal endoscopy was undertaken showing profound erythema and inflammation throughout the oropharynx and posterior pharyngeal wall.?The mucous membranes had been detached leaving an exposed bleeding submucosa. The patient was?commenced on three cycles of back-to-back adrenaline nebulisers (1:1000 adrenaline in 5ml of 0.9% NaCl), 6.6mg dexamethasone intravenously and hydrogen peroxide gargles (5ml?of 3% hydrogen peroxide in 10ml of water) three times a day.?There were early involvement and review of the airway by the anaesthetic and intensive care teams, which was deemed safe at the time. A plan was made for a definitive airway if bleeding reoccurred. Upper airway bleeding can present as a rare form of vape-induced injury and should be considered part of the differential diagnosis particularly in those using CBD oil vapes. History taking is pertinent and patients should be questioned on the specific vape liquids used. Airway stabilisation is the priority with early involvement of the multi-disciplinary team including anaesthetists, intensive care specialists and ENT surgeons.
机译：近年来，Vaping已成为吸烟的越来越受欢迎的替代品。由于化学烧伤，我们展示了一种通过吸入大麻（CBD）油的大量而引起的上气道出血的罕见和不寻常的情况。文献中没有案例报告这一伤害，我们讨论了这种潜在危及生命伤害的临床介绍，诊断和管理层。使用CBD油vape后，一名27岁的男子介绍了事故和急诊科。在一次吸入CBD油vape后，患者在腹咽，呼吸困难，血液和嘶嘶声的咳痰中立即发育疼痛。患者使用CBD油vape四个？当晚第一次早些时候，这是从一个不受管制的在线来源采购的。患者被称为耳朵，鼻子和喉咙（耳朵）？腹咽检查的团队鉴定出后咽部的后​​咽部。柔性鼻内镜检查在整个腹膜内肌瘤和后咽壁上显示出深刻的红斑和炎症。粘膜已经脱离，留下暴露的出血粘膜。患者是在静脉背对背肾上腺素雾化器（5mL 0.9％NaCl中的1：1000肾上腺素）的三个周期，静脉内和过氧化氢静脉（5ml of of of offer过氧化氢）每天三次.??????????????????????????????????????????????????????????????如果出血再次发生，则为一个明确的气道制造计划。上气道出血可以作为罕见的Vape诱导损伤形式呈现，并且应该被认为是鉴别诊断的一部分，特别是在使用CBD油蒸气的那些。历史服用是相关的，患者应该质疑使用的特定VAPE液体。气道稳定是优先考虑多学科团队，包括麻醉师，重症监护专家和欧洲外科医生。

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