Spontaneous pneumothorax treatment principles

First, the treatment of pneumothorax
1. Exhaust indications options: closed-chest compression <30%,> 30%, to exhaust.
2. Exhaust method (1) Emergency summary exhaust Law: Critical illness without special equipment circumstances, can be 50-100 ml syringe in the ipsilateral middle section 2 intercostal clavicle or axillary front section 4-5 intercostal puncture exhaust. Vaccination can also be used a coarse needle, take a tail rubber in its terminal shear cracks from the valve of a role, insert chest exhaust. (2) closed drainage exhaust Law: location choice Ibid. (3) continuous suction exhaust Law:
3. The recurrence of pneumothorax: In addition to the above address, the general use of surgical treatment, age, poor heart and lung function in patients with pleural advocated using fusion; can be used, such as tetracycline, induced chemical aseptic pleurisy, two pleural adhesions, to reduce recurrence. 4. Chronic pneumothorax: general advocated surgical treatment.
Second, treatment complications 1. Liquid pneumothorax (hemopneumothorax, septic pneumothorax): to make as soon as possible抽完effusion low or closed drainage, pulmonary rehabilitation after Zhang more to stop bleeding. If not continue to hemorrhage, in addition to proper blood transfusion, the need for anti-infection treatment. 2. Subcutaneous emphysema: general vacuum in the chest cavity after self-absorption. If subcutaneous emphysema too heavy, plot gas can be pushed to one hand, using percutaneous out of the syringe. 3. Pneumomediastinum: produce symptoms of oppression, in addition to pleural exhaust, if necessary, on Waterloo sternal puncture or incision exhaust.
Third, symptomatic treatment: appropriate bed rest and, if necessary, semi - supine, and the high concentration of oxygen absorption, reduce cough, such as preventing constipation.
Fourth, the treatment of disease: pulmonary emphysema rupture of the bubble or lung bullae, promote use of thoracoscopic for crack closure, some pleural or wedge resection of lung resection.