Can spontaneous pneumothorax be treated completely? 20

The rate of pneumothorax is very high, and if you want to be completely **, you have to surgically remove the leaking bullae. The rate of having surgery is very small, and the doctor once used the analogy that it is like a car accident, the possibility of having a car accident and then another car accident.

There are two types of surgery: one is a chest incision; The other is minimally invasive, that is, the hole is punched in the chest, and the instrument goes in to cut the alveoli, and the epidermis of the beaten eye will be cut by 1cm-2cm, and the eye is smaller than a very thin little thumb. However, minimally invasive medical insurance is not reimbursed.

I am also a spontaneous pneumothorax patient, around 2001 the first attack compression of 80%, at that time did drainage conservative ** (** rate is very high, around 60 70%), eleven years later in September 2012 again ** (compression 30 40%), the doctor recommended thoracoscopic bulloectomy surgery (the rate of surgery **** is about 5 10%), the cost of surgery ** is higher, I spent a total of more than 60,000, in addition to reimbursement of 10,000, I also paid more than 40,000, I heard that this kind of surgery is the cheapest in Beijing Third Hospital, it was 8000 15000 in 08, and now it is not clear, you can ask, the effect is also good. Such hope will be useful to you, I wish you a speedy **!

It depends on your severity This thing loves to be repeated Don't keep doing strenuous exercise for a year and a half Exercise properly It's not a serious illness Don't be afraid Even if you have it, just stay at home in bed It's completely possible.

I had a drainage operation in November 10 and now I haven't had a ** in two years. I was very worried when I heard the second floor, and it seems that I can't be careless at any time.

Get plenty of rest. Depending on the pneumothorax grade, you can usually stay at CAMA and rest directly if the pulmonary artery pressure is below 30%. No special handling is permitted.

30% should be aspirated by thoracentesis, and severe cases require thoracostomy drainage in CASO. Inhaled oxygen accelerates absorption of the pneumothorax. Pneumothorax is when air or other gases enter the pleural space around the lungs (thoracic cavity) for any reason, when all or part of the lungs collapse.

It is a common respiratory emergency, most of which are sudden and severe. It needs to be diagnosed quickly and correctly**.

<> young people are prone to spontaneous pneumothorax, especially those with elongated bodies. Conservative** is generally indicated for small but stable pneumothorax and severe rest; If it is more severe, dyspnea, and severe lung compression, thoracostomy drainage is required. If it is open, infusion + aspiration is performed after surgical sutures.

The second type of closed: infusion + pumping.

Voltage pneumothorax (hyperbaric pneumothorax): The tear creates a unique sensory valve that opens when inhaled and closes when air enters the lungs, preventing air from being expelled. The pressure in the pleural space increases gradually, decreases for a short time after pumping, and then rises again in MS.

It is a medical emergency that can lead to severe impairment of respiratory and circulatory function, as well as hypoxia and shock. Spontaneous pneumothorax is common in young people with thin upper bodies, especially those who smoke. The probable incidence is about 8-10 100,000, with more men than women and familial tendencies.

Under normal conditions, there is no gas between the pleural space (lungs and chest wall), only a small amount of fluid lubricates. If there is air in the pleural space without an obvious cause (such as trauma and invasive surgery), it is called spontaneous pneumothorax. In contrast, a pneumothorax caused by trauma and invasive surgery (such as perforation) is called secondary pneumothorax, and timeliness is the key to pneumothorax.

For closed pneumothorax, when compression symptoms are severe, a long needle is used to aspirate immediately, or closed drainage is performed. The pneumothorax must be drained immediately, otherwise it can be life-threatening.

Sitting for a long time will not aggravate the condition! Don't Chinese medicine, my opinion is surgery**, otherwise there is a risk.

In fact, the probability of spontaneous pneumothorax is very high, with an average of more than a quarter within two years, especially for re-patients, and more than half of the chances. This is because most patients have more or less lung bubbles on the pleura, usually near the apex. Therefore, the purpose of surgery is to find out these lesions that cause pneumothorax and remove them, and add pleural adhesion as appropriate, so that the pleural cavity is completely adhesion and the pneumothorax will not recur.

Usually after surgery, we can control the ** rate to less than 5%.

The clinical management of spontaneous pneumothorax includes observation, chest tube drainage, and surgery**, with the main considerations being the degree of pneumothorax, recovery from absorption, the presence or absence of comorbidities, and the risk assessment of surgery.

Pneumothorax surgery, since 1937 to remove the bubble to avoid recurrence, no matter in the choice of surgical methods, the evolution of methods, the progress of anesthesia, and the introduction of thoracoscopy in recent years, pneumothorax surgery has been a safe, convenient, high success rate. Therefore, we sincerely recommend that patients with poor chest tube drainage, patients with pulmonary inflatability, patients with hemothorax, tension pneumothorax, or those who are inconvenient to seek immediate medical treatment due to the remote place of residence and the special nature of their work should undergo surgery** to avoid the unfortunate occurrence of physical harm and even respiratory failure in the case of acute **.

Pneumothorax can generally be divided into three types, one is closed pneumothorax, one is open pneumothorax, and one is tension pneumothorax, closed pneumothorax is generally caused by rib fractures, open pneumothorax is generally caused by some sharp objects penetrating the chest, and tension pneumothorax, caused by bronchial rupture, etc., so you must pay attention to safety at ordinary times.

The types of pneumothorax are different, ** is not the same, if it is a closed pneumothorax, a small amount of pneumothorax will generally be absorbed by itself, if a large number of it must be sent to the hospital in time**, puncture and pumping, open pneumothorax should first urgently close the wound, cover the wound with a cotton pad and other sterile things, and send it to the hospital in time**, there is also tension pneumothorax, which should be immediately discharged, so it must be sent to the hospital in time, do not do it blindly to avoid accidents.

If you must remain calm after the occurrence of pneumothorax, do not panic too much, it may cause aggravation of the disease, do not think that it will be good to rest, you should immediately send it to a regular hospital for examination, under the correct guidance of the doctor**, because if the pneumothorax drags on for a longer time, the situation will become more and more serious, and finally breathing will be particularly difficult, so you must be sent to the hospital in time.

The patient's idiopathic pneumothorax can be considered for surgery**, and the patient should cooperate with the doctor in combination with the clinical symptoms to determine the **time**. In addition, it is important to take a break after the surgery and not forget to have regular check-ups to prevent infection or adverse reactions. Maintaining a good mindset is also a must for a successful surgery.

The pneumothorax suffered by the patient is idiopathic pneumothorax, and it should be said that he should pay more attention to his behavior than ordinary pneumothorax. The first thing patients should do is to go to the local authoritative hospital for a physical examination in time, and then prescribe the right medicine according to the report after getting the examination report, according to the doctor's instructions.

Patients should do more physical exercise to enhance immunity and avoid colds, but the exercise intensity should not be too large. Communicate with family and friends and don't isolate yourself from others. Eat more fresh fruits and vegetables, breathe more fresh air, rest on time, go to bed early and wake up early.

The disease can be treated with the best methods of traditional Chinese medicine or the best methods of Western medicine, first of all, some of the best methods of Western medicine will be introduced. First of all, it is necessary to ensure that the patient is on bed rest, talk as little as possible, gasp more, and reduce the activity of the lungs, which is conducive to the absorption of gas.

In the case of severe disease or when some other drugs and methods have no effect, the surgical method can be used, but not every patient is suitable for the first method of jade surgery, such as during menstruation, cardiopulmonary insufficiency and other problems are not suitable for surgery.

Similarly, this disease can also be treated with traditional Chinese medicine, which mainly focuses on the rationality. You can boil water and drink with medicinal herbs such as angelica, white peony, and schisandra. This method has the effect of nourishing the lungs, has the effect of dissolving phlegm and relieving cough, and this method can be taken for a long time.

The purpose of pneumothorax is to promote recruitment of the affected side, elimination, and reduction. Some patients with mild symptoms can be conservative****, but most need chest decompression to help the affected lung recruitment, and a few patients need surgery**.

1.Guard**.

1) A small amount of pneumothorax, especially the first occurrence of pneumothorax, does not require special treatment, and sedation, analgesia and other drugs are given as appropriate.

2) A large number of pneumothorax or ** pneumothorax requires pleural puncture, exhaustion of air or thoracostomy to promote lung expansion as soon as possible. Some patients require surgery**.

2.Surgery**.

Pneumothorax that is ineffective in internal medicine should be operated on, mainly suitable for patients with open pneumothorax, hemopneumothorax, bilateral pneumothorax, pneumothorax, tension pneumothorax drainage failure, pulmonary insufficiency due to pleural thickening or multiple bullae on imaging.

3.First aid management of open pneumothorax.

1) Debridement and suturing of chest wall wounds; Blocks the passage of air into the chest cavity and relieves symptoms of dyspnea;

2) administering oxygen, replenishing blood volume, correcting shock;

3) Thoracostomy drainage as soon as possible; Avoid tension pneumothorax and promote lung recruitment as soon as possible;

4) When there is suspicion of intrathoracic organ injury or progressive bleeding, thoracotomy and exploratory surgery are required;

5) Give antibiotics to encourage patients to cough and expectorate, move early, and prevent infection.

4.First aid management of tension pneumothorax.

Tension pneumothorax is a critical and severe disease that can quickly cause death, and positive intrathoracic pressure should be quickly relieved to avoid serious complications, and immediate thoracentesis and exhaust should be required in case of emergency. It will be processed later.

This article is provided by Shanghai Zhonggong Education Medical and Health Examination Network.

It's not like ah, first do a flat film of the chest, if it's a pneumothorax, you can do closed drainage, but you still have to find out the reason, fundamentally, I don't know what else you feel,

You first have to figure out whether it is a pneumothorax or not, just take a film to know, according to what you said, the possibility of pneumothorax is still very small. Rather, it is a pleural problem, and there is also a problem with the intercostal nerves. It is recommended that you go to the hospital for a look.

Do you want to be spontaneous? If you observe for two days and don't get better, you should puncture and aspirate, if it is not good, you should intubate and exhaust, and if it is not good, you will have to have surgery. In general, I am a pneumothorax patient, and if I want to know more, please ask.

Trauma, inflammation, lung lesions, etc. are easy to cause, and the most important thing is to find the primary disease.

Caused by bronchial rupture, etc.