How to treat the ruptured pulmonary bubbles, what to do if the alveoli rupture

Your friend has a pneumothorax, which compresses less than 10% of the lung tissue, and can rest at home**; More than 15% are hospitalized** and thoracentesis can be performed; More than 40% of patients should do thoracostomy drainage; During this period, you should not smoke, hold your breath, cough violently, or exercise. Eat light and easy-to-digest foods.

A ruptured alveoli is called a pneumothorax.

Tension pneumothorax.

It refers to the formation of a flap in the injured tissue, and when inhaling, the air can enter the pleural cavity through the cleft, and when exhaling, the flap unites and the air cannot be discharged, resulting in an increasing pressure in the pleural cavity, so it is also called hyperbaric pneumothorax.

Key points of diagnosis] 1) Have a significant history of trauma. Be careful to ask about the time of injury. Situation and location.

2) The patients all showed high dyspnea, extreme shortness of breath, mouth breathing, and irritability. Shock may occur.

c) Extensive mediastinal and subcutaneous emphysema, purple forceps. The trachea is significantly displaced to the unaffected side. Chest percussion shows a tympanum, and breath sounds disappear on auscultation.

4) Chest X-ray fluoroscopy, a large amount of air in the chest on the injured side, the lungs are completely compressed and collapsed, and the mediastinum is displaced to the healthy side. Often accompanied by hemothorax.

5) Thoracentesis found that the pressure of the chest cavity is significantly increased, and a large amount of gas can be withdrawn.

**Key points】1) Quickly perform thoracentesis and exhaust in the second intercostal space of the midclavicular line on the affected side, and perform thoracostomy at the same time, 3 to 5 days later, chest X-ray fluoroscopy, if the lung has been re-expanded, the chest drainage tube can be removed.

2) Use of sedatives, analgesics and antibiotics.

3) Closely observe the changes in the condition and deal with comorbidities and compound injuries in a timely manner.

4) After the above treatment, if the dyspnea does not improve, the pneumothorax does not disappear and the bleeding does not stop, the thoracotomy should be explored in time to repair the lung or bronchial damage.

Hello, in this case, pneumothorax will occur, it is a more serious disease, you need to go to the hospital, through puncture and breathing**, it is possible, and a few need to go through surgery.

In your case, spontaneous pneumothorax is caused by strenuous exercise during a high fever, which causes the alveoli to rupture.

1. About spontaneous pneumothorax:

Spontaneous pneumothorax is a pneumothorax that occurs in the absence of trauma or human factors. According to **, it is divided into two types: primary and secondary:

1. Primary pneumothorax:

It refers to the fact that there is no history of respiratory tract disease, but there may be a large alveoli under the pleura, and once it ruptures to form a pneumothorax, it is called idiopathic pneumothorax, which is more common in young men with an elongated body shape.

2. Secondary pneumothorax:

It occurs in patients with underlying lung disease, and the most common are tuberculosis, bronchial disease, emphysema, and other diseases.

Strenuous exercise, coughing, sneezing, blowing, breath-holding, lifting objects, laughing loudly, etc., can increase alveolar pressure, eventually leading to bullae rupture, which is a common cause of spontaneous pneumothorax.

Combined with your condition, if you do not have chronic lung disease, it is more likely to be idiopathic pneumothorax; However, because it occurs during the fever period, an examination should be done if necessary to rule out the possibility of tuberculosis, which is beneficial to ****.

Second, about **:

For spontaneous and closed pneumothorax, with lung compression less than 20%, the pneumothorax can be absorbed spontaneously by bed rest alone; If the lung compression is greater than 20% and the symptoms are obvious, thoracentesis should be performed for aspiration or closed drainage.

You have a pneumothorax and 10% of the alveoli rupture, probably about 10% compression of the lung tissue; If this is the case, it is a mild pneumothorax. However, according to the symptoms of dyspnea, unable to lie down, and the chest pain is obvious when lying down, it is recommended to do a re-examination, one is to determine the degree of compression of the lungs, and the other is the possibility of open pneumothorax, that is, the wound is not completely closed.

If there is still a mild pneumothorax (less than 20% lung compression), observation can be taken**, and the pneumothorax is mostly absorbable. If the pneumothorax is moderate or above, or the symptoms are obvious, thoracentesis or closed drainage should be performed**.

Other ** measures and precautions are:

1. Bed rest, avoid excessive force, loud talking or shouting, straining to defecate, etc.

2. Avoid coughing, and take cough medicines such as cough biqing, compound licorice tablets, or codeine if necessary.

4. Keep the stool smooth, and take effective measures if the stool is not solved for more than 2 days.

5. Observe the changes in the condition, monitor the gas absorption of the pneumothorax, and actively deal with symptoms such as chest tightness and dyspnea.

6. Try to be clear**, if tuberculosis is suspected, you can take anti-tuberculosis drugs if necessary**.

1. Actively target;

2. After the pneumothorax is healed, avoid strenuous exercise, avoid lifting and lifting heavy objects, and avoid breath-holding within 1 month. Do not do stretching for 3 to 6 months, and do chest exercises.

3. Pay attention to supplementing nutrition, consume sufficient protein and vitamins, not picky eaters, do not eat partially, and eat crude fiber foods appropriately to enhance the body's resistance.

5. Patients should quit smoking, prevent upper respiratory tract infection, and avoid severe coughing.

Bullae refers to bullous emphysema, which is a type of localized emphysema. The alveoli are highly distended, and the alveolar walls rupture and merge with each other, usually caused by valvular obstruction of the small bronchi. Rupture of the bullae does not cause immediate death, but it must be accepted in time** or it will be life-threatening.

If the alveoli rupture, there will be obvious pneumothorax symptoms, such as chest tightness, dyspnea, etc., if the pleural cavity is too large, it is necessary to perform timely surgery to exhaust the air**. According to the patient's condition, the pulmonary bullae themselves are easy to rupture, and if there is still a pneumothorax, it is best to perform surgery in time**. At the same time, it is necessary to pay attention to the possibility of reducing ** after avoiding exertion and strenuous exercise.

According to your description, considering that it is a symptom of chronic bronchia, it is generally recommended to continue anti-inflammatory antibiotics**, which is generally unlikely to rupture, continue regular check-ups, and reasonable maintenance.

How long is the situation going now.

If you suddenly have bad breath, chest pain, etc., you should pay attention. Because the alveoli in the lung tissue are like the grapes we eat, several alveoli fuse into a large alveoli and become a large vesicle. Ruptured lungs can cause pneumothorax, so be careful not to cough severely and forcibly suffocate yourself.

It wasn't life-threatening, and I had pneumothorax twice.

In severe cases, it is proved to be dangerous, pulmonary bullae patients will be agitated, exerted, crying can cause repeated attacks, mild pneumothorax can be absorbed by itself, and in severe cases, thoracotomy can be surged**.