Tuesday, March 11, 2008
Pneumothorax
Overview is no injuries or man-made factors circumstances, the visceral pleura rupture, gases into the pleural cavity plot led to the chest caused by the gas and pathophysiological conditions. No obvious lung disease emphysema from Subpleural bubble burst forming claimed idiopathic pneumothorax; secondary to chronic obstructive pulmonary disease, such as tuberculosis, pleural lung disease called secondary pneumothorax. By pathophysiological changes are divided into closed (simple), open (communicating) and tension (hypertension) three. A diagnosis. There is a sudden chest pain, dyspnea, chest brimming ipsilateral spontaneous delivery drum sound, auscultate breath sounds disappear. 2. See chest or chest X-ray chest Gas. 3. Or syringes in the chest generate gas. A clinical performance. Sudden chest pain, difficulty in breathing, chest tightness, severe irritability, sweating, cyanosis, respiratory accelerated pulse rate fine, or even shock. 2. Tracheal shift to the contralateral, ipsilateral chest satiated and respiratory movement weakened or disappeared, the show was spontaneous delivery. Pragmatic chatter and breath sounds weakened. Treatment 1. Few closed pneumothorax can to exhaust treatment. Open closed pneumothorax required drainage. 2. Pneumothorax hypertensive emergency ventilation should be done, after the closed drainage. 3. Treatment of the primary disease, a medication. Original incidence of TB were Isonicotinic corpus application, rifampin, streptomycin, pyrazinamide and other anti-tuberculosis treatment. 2. Application infected with penicillin, and so on-must vanguard. 3. Attack repeatedly or poor drainage treatment will be applied tetracycline powder, thrombin, such as talc pleurodesis operation. An auxiliary inspection. Pneumothorax chest examination must be done, if the severity can make occasional chest; 2. repeated illness worse treatment should be done thoracoscopic or chest radiography and CT examinations.
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