Sunday, June 22, 2008
The causes and prevention of spontaneous pneumothorax
Spontaneous pneumothorax spontaneous pneumothorax is due to the formation of the lung or pleural diseases, causing visceral pleural rupture caused air into the pleural cavity, a pneumothorax. Pneumothorax produce, increase the pressure on the pleural cavity (normal pleural cavity for the negative pressure), which can not be inflated lung, pulmonary pressure to the hilar, or even to the trachea, such as a heart shift, opposite to the chest. Pneumothorax caused the reasons Chronic bronchitis complicated by emphysema, bronchial asthma, pneumoconiosis, extensive pulmonary fibrosis, a lung bubble burst, and so on. Lung cancer, tuberculosis empty, can also cause lung abscess pneumothorax. On the elderly, the incidence of chronic obstructive pulmonary emphysema for the majority, more incentives pathogenesis of infections, severe coughing and asthma. How to determine the occurrence of pneumothorax Most patients with chest pain have different degrees of chest pain, which is due to pleural adhesions stretch, tear caused. Chest pain can be sudden, a tingling or pain, cough and deep pain intensified when the suction. However, because the elderly feel slow, chest pain than the performance of young people are often obvious. Therefore, early diagnosis likely to cause delays. Chest pain and breathing difficulties often simultaneously, young people lung compression less than 20 percent, difficulty in breathing may not obvious. But many elderly people with chronic lung disease, and poor lung function, while only 10 percent lung compression, can also be a clear difficulty in breathing. As for the high-pressure pneumothorax, patients can be a sexual difficulty in breathing, even shock, respiratory failure, and so on. Coughing for more dry cough, for pleural reflex induced. If the co-infection or bronchopleural fistula, increased cough, cough Nongxing sputum. High-voltage shock pneumothorax failure to obtain timely medical treatment, the patient can occur in shock, then in addition to breathing difficulties, there are cyanotic, sweat Lin Li, irritability, consciousness, Jueleng limbs, weakened pulse, blood pressure dropped even . The signs of spontaneous pneumothorax the elderly, vulnerable to the disease to cover up (such as chronic obstructive bronchitis and emphysema merger), resulting in delays in diagnosis. At this point, X-ray inspection can help diagnosis, and to understand the degree of lung compression, while paying attention to offset the trachea, often useful tips. How to treat spontaneous pneumothorax The first is ruled out of gas so that the rehabilitation of the lung and restore respiratory function. At the same time pay attention to prevention and treatment of complications, such as pneumothorax, hemopneumothorax, and so on. Exhaust is to be based on the patient lung compression level and the incidence of the nature, scope, such as the type of pneumothorax may be considered. Critical condition are required to exhaust emergency simple, repeated the exhaust can not ease breathing difficulties, closed drainage can be taken, such as exhaust. Suffering from chronic lung disease of the elderly, especially those with emphysema, the lung of patients with large bubble, if coughing, difficulty breathing suddenly intensified, or the incidence of breathing difficulties, as no improvement, they should think whether there had been a spontaneous gas The chest, should Kuaiqu hospital treatment.
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