Pneumothorax symptom treatment?

summary

Pneumothorax refers to the gas into the pleural cavity, resulting in gas accumulation state, known as pneumothorax. Most of the patients suffered from lung disease or external force, which resulted in the rupture of lung tissue and visceral pleura, or the rupture of tiny emphysema near the surface of the lung, and the air in the lung and bronchus escaped into the pleural cavity. Traumatic pneumothorax is caused by chest wall or lung trauma; Spontaneous pneumothorax is caused by spontaneous rupture of lung tissue caused by disease, and artificial pneumothorax is caused by artificially injecting air into pleural cavity for treatment or diagnosis. Pneumothorax symptom treatment? Let's talk about it

Pneumothorax symptom treatment?

General treatment: pneumothorax patients should absolutely rest in bed, fully inhale oxygen, and speak as little as possible to reduce lung activity, which is conducive to gas absorption and lung recruitment. It is suitable for the first attack with lung collapse less than 20% without dyspnea.

Exhaust therapy: it is suitable for patients with obvious dyspnea and severe lung compression, especially those who need emergency exhaust for tension pneumothorax. Hemodynamic instability suggests that tension pneumothorax may occur, which requires immediate decompression through the second intercostal puncture of the middle clavicle line.

Pleural adhesions: due to the high recurrence rate of spontaneous pneumothorax, in order to prevent recurrence, simple physical and chemical agents, immune activating agents, fibrin supplements, medical adhesives and biological stimulants are introduced into the pleural cavity to make the visceral and mural layers of pleural adhesions, so as to eliminate the pleural space and make no place for air accumulation, which is called "pleurodesis". According to the British Thoracic Society (BTS) guidelines, chemical pleurodesis is only suitable for patients with persistent air leakage who are not suitable for surgical treatment, and is not recommended as the first choice of treatment.

matters needing attention

1. The recurrence rate of pneumothorax is high. We need to tell the patients which symptoms prompt pneumothorax recurrence, and need to see a doctor in time. Pneumothorax is often manifested as sudden chest pain and dyspnea, but a small number of patients may have no obvious symptoms. 2. BTS guidelines recommend that all patients should visit the respiratory department 2-4 weeks after the initial onset of pneumothorax, review the absorption of pneumothorax, check whether there is underlying lung disease, and whether further treatment is needed.