雾霾之下——肺？废？
2017-01-19
Bob Dylan写歌，以词获得2016年诺贝尔文学奖。同济大学附属上海市肺科医院胸外科副主任医师赵晓刚写了一首诗，于今年在美国权威胸外科杂志《CHEST》上获得发表，价值比肩学术论文。这首名为《I Long to be King》（中文翻译为《我要当老大》）的诗歌是一首关于肺部磨玻璃影的英文诗歌，发表于美国胸科医师学会（ACCP）创办的世界胸科领域顶级期刊《CHEST》杂志（SCI收录期刊，影响因子5.94）。诗歌作者赵晓刚是《CHEST》创刊以来迎来的第一位中国籍医生诗人。我们一起来欣赏一下这首诗，听听我们的肺是否也正在挣扎和呐喊。
肺部磨玻璃影的自白诗:（节选）
——文末已附上英文原文
我喜欢呼吸醇馥幽香的雾霾，
肺部磨砂玻璃影是我的大名，
朦胧的身影披着神秘与诡异，
……
你笑称幼时的我不典型增生，
你憎称青年的我为原位腺癌，
你咆哮壮年的我为浸润腺癌，
……
我也是从弱小逐渐变得强大，
我也是从隐忍逐渐走向狂放，
……
我喜欢呼吸纯馥幽香的雾霾，
散发着甘甜徐徐融入我身心，
我更喜欢抽烟喝酒熬夜的你，
创造着惬意的家园令我成长。
……
继续成长的我有机会成为老大，
突破层层壁垒、跨越千山万水，
每一根血管都有我的手下子民，
每一处脏器都有我的旌旗招展。
……
肺部磨玻璃影(ground—glass opacity，简称GGO)是指高分辨率CT(high—resolution CT，HRCT)图像上表现为密度轻度增加的云雾状磨砂玻璃样影，但其内的支气管血管束仍可显示，见于各种炎症、水肿、纤维化及肿瘤等病变。此征象常为早期肺部疾患的表现。
《I Long to be King》(《我要当老大》)是一首肺部磨砂玻璃影的自白诗。诗歌将肺部疾病拟人化，以其自述的视角，完整展现了疾病从小的病灶开始，如何在内外因的共同作用下，狂放与野蛮生长，最终吞噬人体呼吸与健康。
从医生的诗歌中，我们可见，这种最终可能发展为肺癌的病变——肺部磨玻璃影对雾霾是真爱：“喜欢呼吸纯馥幽香的雾霾”。也就是说，在雾霾等外因条件的助力下，肺部磨玻璃影最终可能变成吞噬健康的超级致命杀手。
（以上节选自澎湃新闻）
诗歌原文：
I long to be king
Xiaogang Zhao, MD, PhD
I am ground glass opacity (GGO) in the lung,
A vague figure shrouded in mystery and strangeness,
Like looking at the moon through clouds,
Like seeing beautiful flowers in the fog.
I long to be king,
With my fellows swimming in every vessel.
My people crawl in your organs and body,
Holding the rights for life or death, I tremble with excitement.
When young you called me “atypical adenomatous hyperplasia”,
Then when I had matured, you declared me “adenocarcinoma in situ”,
When fully developed, your fearful denomination: “invasive adenocarcinoma”.
You forgot my strenuous journey to become the king.
From tiny to strong,
From humble to arrogant.
None cared when I was young,
But all fear me we when full grown.
I’ve been nourished on the delicious mist and haze,
That sweetly warmed my heart,
Always loving when you were heavy drunk and smoking,
Creating me a cozy home.
When I was less than eight millimeters, I was so fragile,
Waiting for a chance to grow up.
Now, more than eight millimeters, I am more mature,
And considered worthy of notice.
My continuous growth gives me a chance to be king,
As I break through layers of obstacles,
Spanning the mountains and waters.
My fellows march to every corner and occupy every region.
My quest to become king was full of obstacles,
I was cut until almost dead in childhood,
Burned once I’d matured,
And poisoned when older.
Happiness after sorrow, rainbow after rain.
I faced surgery, radiotherapy, and chemotherapy,
But continued to chase my dream,
Some would have given up, but I will be the king.
I long to be king, with fellows and subordinates,
I long to be king, to have people’s fear and respect
I long to be king, to dominate my domain,
I long to be king, to direct your fate.
回到现实，当我们在以一路高歌猛进的势头奔命往前冲时，我们是否想过，我们的身体真的能跟上发展步伐吗？
据世界卫生组织数据显示，全球每年约160万人死于肺癌，肺癌已成为全世界发病率和死亡率最高的恶性肿瘤，我国也是世界上肺癌患者最多的国家，每年约73万人被确诊为肺癌。肺癌是男性新发恶性肿瘤的第1位和女性的第2位，约占所有恶性肿瘤的20%，也就是说每5个新发恶性肿瘤中就有1个是肺癌。曾经“谈癌色变”是因为治疗方法少，现在“谈癌色变”是因为癌症高发。我以为我们生在这个飞速发展的年代是幸运的，数字化的环境让生活变的如此便捷，但是发展的代价是污染，而在污染之下，我们如何保护自己，改善环境，这是我们这几代人要努力的事。雾霾之下，愿我们的肺不会成为“废”。
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