The diagnosis of spontaneous pneumothorax

Non-invasive pulmonary or pleural lesions rupture of the visceral pleura caused air Yat people pleural cavity known as spontaneous pneumothorax. Spontaneous pneumothorax can be divided into two types: ① primary pneumothorax, Also known as the assurance of pneumothorax; refers to the lungs conventional X-ray examination found no obvious lesions of "health" in the pneumothorax occurred, most of the top of visceral pleural lung under small bubble rupture caused emphysema. Commonly found in 20 to 40-year-old young adults, men more thin and high body; ② secondary pneumothorax, various secondary to lung disease was particularly prevalent in the over 40 years of age. The author repeatedly pneumothorax, said recurrent pneumothorax;, pneumothorax sustained more than three months is still not completely Zhang Fu, said chronic pneumothorax. .
[Diagnosis]
One symptom: depends on the speed, extent and pulmonary lung shrinking the original lesion. Often patients with cough, mentioning heavy, strenuous exercise, and other incentives, the typical symptom is sudden onset, severe chest pain affected, followed by breathing difficulties and irritating cough, a small number of patients with slow onset, no obvious symptoms. Tension pneumothorax patients with breathing difficulties significantly, cyanosis serious, there will be the shock, coma.
Second, the signs: not obvious signs when a small amount of pneumothorax. Pneumothorax in more than 30 percent of the patients thorax full,widened, respiratory movement weakened, was dark tone, heart, liver voiced District disappeared, language flutter and breathing sound weaken or disappear. Few left pneumothorax; can be heard in the left Department synchronization with the heart of the split shoot sound, Levy said Hamman, the patient when the left-inspiratory most clearly. Pneumothorax enable large heart, trachea to the contralateral shift, when there is water pneumothorax can be heard within the Chest and acoustic vibration.
C, X-ray inspection: pneumothorax thoroughly brightness increase, no lung profiling; pulmonary hilum to the wilt collapse, the extent not shrink when the lung was also 1-fronds. Sometimes that pleural surface adhesive strip or band, lung CT lung compression, it is clear that the circumstances.
4, artificial pneumothorax-examination: pneumothorax can be further confirmed by detection of intrathoracic pressure, clearly pneumothorax types. Clinical 3.
1. Closed-pneumothorax 2. Open pneumothorax 3. Tension pneumothorax
5. Chest examination: enable 95% of spontaneous pneumothorax clear etiology.