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Spontaneous pneumothorax is mostly caused by the rupture of subpleural pneumoema vesicles, and is also seen in subpleural lesions or cavitary ulcers, pleural adhesions, and tears. Subpleural emphysema vesicles can be congenital or acquired; The former is congenital elastic fibrous dysplasia alveolar wall elasticity, and the formation of pulmonary bullae after expansion, which is more common in slender men with no obvious disease on lung X-ray examination, and the latter is more common on the basis of obstructive emphysema or post-inflammatory fibrous lesions, bronchiol negotiation semi-obstruction and distortion, and the formation of emphysema bubbles due to the mechanism of birth valve, and the enlarged emphysema bubbles are degenerated due to nutritional circulation disorders, so that they rupture when coughing or increased intrapulmonary pressure. **:
1.Traumatic pneumothorax: common various chest trauma, including sharp object puncture wounds and gunshot penetrating wounds, rib fracture end dislocation puncture to the lungs, as well as lung injuries during diagnostic medical procedures, such as acupuncture lung biopsy, artificial pneumothorax, etc. 2
Secondary pneumothorax: pneumothorax is formed by bronchoppulmonary disease that breaks into the chest cavity. Such as chronic bronchitis, pneumoconiosis, bronchial asthma, etc., obstructive pulmonary diseases, pulmonary interstitial fibrosis, vesicular emphysema and pulmonary bullae caused by partial occlusion of the airway by honeycomb lung and bronchial lung cancer, as well as purulent pneumonia near the pleura, lung abscess, tuberculous cavitation, pulmonary mycosis, congenital lung cyst, etc. 3
Idiopathic pneumothorax: refers to the usual history of respiratory tract disease, but there may be a large alveoli under the pleura, once the rupture to form a pneumothorax is called idiopathic pneumothorax, which is more common in young men with a slender body shape. 4.
Chronic pneumothorax: refers to the pneumothorax that has not fully reopened after 2 months. The reasons for this are:
Pneumothorax with inadequate absorption, bronchial negotiation with non-healing pleural fistula, alveoli or congenital bronchial cysts, and airway obstruction or atrophy of the pneumothorax that communicates with the pneumothorax with a thicker mechanistic capsule that impedes lung recruitment.
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Idiopathic pneumothorax: refers to the occurrence of pneumothorax in patients with no lesions found by routine chest X-ray, and the main pathogenesis is as follows; Pulmonary pressure increases, when a normal person is sitting, the lung contraction and expansion of the transpulmonary pressure apex is 8-10 cm higher than the base of the lung, while the thin and tall people, because of the narrow chest cavity, make the regional difference in transpulmonary pressure larger, the alveoli at the apex of the lung can rupture due to a considerable average dilation pressure, and the air enters the lung around the lung along the lobular septum to form a pneumothorax. Poor blood is related to the distance between the apex of the lungs and the large blood vessels of the lungs, and it is easy to form a pneumothorax due to weak resistance.
Nonspecific inflammation and inflammatory infiltration cause valvular obstruction and fibroproliferative lesions in the bronchioles and its surroundings, respectively, and emphysematous changes occur in the alveoli or pulmonary interstitium. Genetic factors, the frequency of HLA-A2B4 antigen in patients with spontaneous pneumothorax is higher than that in the normal population, indicating that the incidence of spontaneous pneumothorax is related to genetics, and idiopathic pneumothorax has been reported in other families. In addition, congenital dysplasia of alveolar wall elastic fibers, local congenital cysts or inflammation of the pleura, and smoking are all possible causes of pneumothorax.
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Spontaneous pneumothorax refers to the pathophysiological condition caused by the rupture of the visceral pleura and the entry of air into the pleural space in the absence of trauma or human factors. Those who have no obvious lesions in the lungs and are formed by the rupture of subpleural emphysema vesicles are called idiopathic pneumothorax; Patients with pleural and lung diseases secondary to chronic obstructive pulmonary disease (COPD) and tuberculosis are called secondary pneumothorax. According to the pathophysiological changes, it can be divided into three categories: closed (simple), open (communicative) and tensile (hyperbaric). Beg.
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Introduction: As we all know, most people pay a lot of attention to their physical activity, and just want to be able to have a strong body so that they can avoid diseases. However, the incidence of pneumothorax has become higher and higher in recent years, and many people are very worried and want to know how to prevent it, so what are the most typical symptoms of spontaneous pneumothorax?
1. Spontaneous pneumothorax symptoms.
Spontaneous pneumothorax, as the name suggests, is related to breathing, and if someone has a spontaneous pneumothorax. So the symptoms of this disease will be answered one by one. For someone with pneumothorax, the symptoms of spontaneous pneumothorax vary greatly depending on the age of the patient.
In younger patients, symptoms may be milder. For older patients, spontaneous pneumothorax may feel like breathing is difficult. If some patients have spontaneous pneumothorax, these people will not only feel poor breathing, but also feel pain in the chest during the disease, which will affect their normal life.
2. Spontaneous pneumothorax** method.
For spontaneous pneumothorax, most doctors will let the patient observe in the early stage, and at the same time, add oxygen to help the patient's chest cavity move normally. However, once the pneumothorax is found to be severe, the doctor will use a surgical approach to perform the patient**. Surgical methods sometimes vary depending on the type of spontaneous pneumothorax to help patients get rid of pneumothorax earlier.
3. Summary of experience in spontaneous pneumothorax.
Although the environment in which we live is now lower than before, which further leads to the incidence of various diseases, for these diseases, most people can pay attention to their eating habits and work habits to avoid their own diseases. And if the disease occurs, the patient should go to the hospital in time to choose** to reduce the pain brought by the patient.
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If the condition is not too severe, it can be absorbed by itself, and if it is more severe, it needs to be removed from the chest cavity to heal.
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It was very difficult to breathe, one side of the chest was very painful, I couldn't breathe, my chest was tight, I couldn't speak, and I occasionally coughed.
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Chest pain, wheezing, difficulty breathing, and mild coughing, fatigue, and inability to lift energy.
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The most typical symptom is that you will have difficulty breathing, and your chest will be swollen, and the air pressure in your chest will also increase, and your breathing will become very rapid, and it may even lead to suffocation.
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Spontaneous pneumothorax is largely primary and results from a rupture of the junction between the lung and pleura. The working pressure in the bronchi rises rapidly, which is the most important cause of the rupture of the pleural space. When the pleura ruptures, a cyclone enters the sternum, and a pneumothorax develops.
Some will have an open pneumothorax, which is different from spontaneous pneumothorax, the key to this difference is that the lung organ and the parietal pleural adhesions, after rupture, will close, and then continue to open the room. The working pressure inside the pleura will be close to 0. Spontaneous pneumothorax is usually a condition that occurs only in men, and it is the emergency department of the pulmonology.
Many are due to pleural rupture. Clinical problems include chest tightness, shortness of breath, shortness of breath, poor breathing, dry cough or palpitation, and chills in the limbs.
In general, spontaneous pneumothorax is more common in thin people and older people who smoke a lot. In order to establish, the first step is to improve the imaging diagnostic examinations, such as chest X-ray and chest CT. The vast majority of spontaneous pneumothorax occurs in the group of thin bodies, all of which are caused by the underdevelopment of lung organs, so such a thing theoretically proposes that patients increase their nutritional content, which is beneficial to improve the work pressure tolerance of lung organs, and for spontaneous pneumothorax caused by age or lung itself, it can be reasonably solved by finding the direct cause and carrying out relevant treatment.
The first cause of spontaneous pneumothorax is subpleural bullae rupture; This is followed by rupture of bullous pneumonia; Then there are some elements of tuberculosis; Finally, there are some other factors, including the elements of susceptibility, the elements of tumors, and the spontaneous pneumothorax of the menstrual period and the pneumothorax of patients with acquired immune deficiency syndrome. In daily life, due to some traumatic reasons, some patients have spontaneous pneumothorax and other suboptimal diseases, which in turn have caused greater damage to the physical and mental health of patients, which is very detrimental to improving the quality of life.
Spontaneous pneumothorax is a disease of the lungs or pleura, which causes the visceral pleura to rupture, and air enters the pleural space, producing a pneumothorax. Factors that cause pneumothorax include chronic bronchitis, high complication with pneumonia, chronic bronchitis, pneumoconiosis, generalized pulmonary fibrosis, and ruptured bullae. Liver cancer, tuberculosis cavities, and lung abscesses can also cause pneumothorax.
As far as the elderly are concerned, the original disease is mostly diffuse obstructive emphysema. Spontaneous pneumothorax is usually caused by a rupture of the bullae and is more common in young men, especially tall and thin people. The causes of the disease are often sensitive, severe cough, heavy weighting, breath-holding, excessive exercise, etc.
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It may be due to lung disease that causes the lung tissue and pleura to rupture, or it can be due to spontaneous ruptures of tissue cells near the lung surface, causing air to escape and cause spontaneous pneumothorax.
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It can be caused by tuberculosis, chronic bronchitis, asthma, lung disease, or lung cysts.
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It may be due to heart disease, vascular disease, weakened body resistance, or lung disease.
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It's very much because of the heart, there are enough because of the disease, there is enough because of the decline in the resistance of the body, and enough is because of the lung disease.
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It is usually more common in tall, thin young people. It is estimated that the patient also belongs to this category, and the study is of little significance at this time, and the number of studies will decrease as the age and physique gradually improve.
There are many secondary pneumothoraxes, the most common ones are viral pneumonia or bacterial pneumonia and fungal pneumonia can cause pneumothorax, and some pneumothorax patients are caused by chronic bronchitis, or acute bronchitis, and some patients are due to pneumoconiosis caused by pneumothorax, and some patients are caused by asthma disease, or obstructive pulmonary disease can also cause pneumothorax, as well as pulmonary interstitial fibrosis, honeycomb lung, bronchopulmonary cancer, can cause pneumothorax. In other patients, pneumothorax can be caused by lung abscess or pleurisy, as well as tuberculous cavitation of lung abscess.
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