The causes and prevention of spontaneous pneumothorax

The formation of spontaneous pneumothorax Spontaneous pneumothorax is due to pulmonary or pleural lesions, A visceral pleura rupture caused air into the pleural cavity, a pneumothorax. After the pneumothorax, pleural cavity pressure increase (normal pleural cavity for negative pressure), so that can not be inflated lung, pulmonary pressure to hilar, and even the trachea, heart, and so shift occurred, was contralateral to the chest. The reasons for the cause of pneumothorax Chronic bronchitis complicated by emphysema, bronchial asthma, and pneumoconiosis, extensive pulmonary fibrosis, pulmonary bullous rupture, and so on. Lung cancer, tuberculosis empty, and can also cause lung abscess pneumothorax. On the elderly, the incidence of chronic obstructive pulmonary emphysema accounted for the majority of morbidity and more incentives for infection, severe cough and asthma. How judgment has pneumothorax Most of chest pain in patients with different degrees of chest pain, as the pleural adhesions stretch, tear caused. Chest pain can be sudden, a tingling or pain, cough, pain and deep inspiratory increase. But because the elderly feel numb, chest pain than the performance of young people are often obvious. So easy for the early diagnosis of delay. Breathing difficulties often coincided with chest pain, pulmonary compression young people less than 20%, dyspnea can not obvious. But many elderly people with chronic lung disease and poor pulmonary function, pulmonary compression Although only 10% or apparent difficulty in breathing. If the high-pressure pneumothorax, the patient can breathe a sexual difficulties, and even shock, respiratory failure, and so on. Mostly dry cough cough, pleural reflex induced. If the merger infection or bronchopleural fistula, increased cough, cough purulent sputum. High pressure pneumothorax shock failure to receive timely treatment, can occur in patients with shock, then in addition to breathing difficulties, there are cyanotic, sweated profusely on our journey, irritability, confusion, limbs Jueling, weakening pulse, blood pressure dropped even death. Elderly spontaneous pneumothorax signs, easily concealed primary disease (such as chronic obstructive pulmonary emphysema bronchitis merger), resulting in delayed diagnosis. At this time, X-ray examination can help diagnosis, and understanding of the extent of pulmonary compression, while paying attention to offset the trachea, often useful advice. How the treatment of spontaneous pneumothorax The primary gas is excluded, Zhang pulmonary rehabilitation, restoration of respiratory function. At the same time attention to the prevention and treatment of complications such as pneumothorax, hemopneumothorax, etc.. Exhaust is required according to the patients and the degree of lung compression incidence of the original nature, scope, such as the type of pneumothorax comprehensive considerations. Severity is required emergency summary exhaust, the exhaust repeatedly not ease breathing difficulties, closed drainage can be taken, such as exhaust. Patients with chronic lung disease of older persons, especially those with emphysema, pulmonary bullous patients, if cough, dyspnea suddenly intensified, or the incidence of respiratory difficulties, as no improvement, they should think of whether there had been a spontaneous gas chest, treatment should be taken to the hospital for an examination.