What are the symptoms of pneumothorax? How to diagnose pneumothorax? How is the treatment of pneumothorax? Answers to these questions you will find in the article.
Content
Pneumothorax - air flow in the cavity of the pleura. Distinguish spontaneous pneumothorax open, valve and closed.
Most often, pneumothorax occurs in the breakthrough of sublimal
Tuberculosis focus. Less often there is a breakthrough of purulent focus. Maybe
Be a breakthrough in the pleura of the bullous edge bladder with the so-called
bullous emphysema in man, before apparently healthy. Air B
Plevra can penetrate and outside due to penetrating injury
Chest. Hole on visceral pleura can close or
stay open for a while. There are cases when
The hole opens when inhaling and closes when exhaling - valve
Pneumothorax, in which the most developed in the pleural cavity
pressure. Breakthrough can occur in the pleural battles
cavity and in limited sobbing space.
Symptoms of pneumothorax
When breaking into a free pleural cavity suddenly occur
Strong chest pain. Usually cyanosis appears, shortness of breath.
There are shock phenomena: drop in blood pressure, severe heartbeat,
cold sweat. The patient can perish in the first hours.
Mostly sharp shock phenomena soften, dyspnea remains,
cyanosis, often ortopnoe (shortness of breath arising in the lying position). With valve pneumothorax state
progressively worsens - shortness of breath, cyanosis; Tachycardia everyone
Enharged.
Percussively detects more or less sharply pronounced
Tympanic (or lower «boxes») Hue percussion
sound, but it is not always easily catchy, especially with emphysema
Other light. Essential auscultative detectable absence
or a sharp breath attenuation (with clear percussion sound). A heart
sharply shifts in the opposite direction (if there are no fixing it
pleroidic battles).
In the future, the liquid in the Polish cavity is usually beginning to accumulate:
serous with tuberculosis, purulent (often rotten) in a breakthrough
Abscess - Popurnothorax.
Poppurnumox may appear in the breakthrough of tuberculosis cavity.
Further depends on these complications and on nature
The main disease. In general, the spontaneous pneumothorax worsens the course
the main process, but it is known that the tuberculosis process can
Improve from the lung compression, and the abscess of the lung - «Greet»,
Going to Empoem Plevra. Breakthrough bullous bubble is usually without
The accumulation of liquid and favorably - the air is absorbed and the patient
recovering. Valve pneumothorax leaks.
With a radiological study, the absence is found
pulmonary pattern almost all over the affected half of the chest
cells; visible contours of the pursed lung, in the future it can appear
Horizontal fluid level in pleural cavity. With breakthrough B
Space, limited by pleural battles, clinical picture
less severe and complaints may be limited to short-term sharp
pain with shortness of breath or a breakthrough can occur even less noticeable.
Diagnosis of pneumothorax
Almost always puts correctly if the doctor arises a thought about
Opportunities of spontaneous pneumothorax. Have to sometimes distinguish from
Myocardial infarction on the basis of the lack of prudged pain and typical
irradiation, as well as on the basis of auscultative data. Helps
diagnosis and clarification of the nature of the preceding this episode
Diseases. Diagnosis of small accredited pneumothoraxes often quite
difficult and impossible without careful x-ray.
How is the treatment of pneumothorax
In the first period of treatment of pneumothorax - the fight against shock phenomena:
prescribe careless drugs, but only if there is no
Significant damage to other light), cardiovascular.
Sometimes you have to resort to the wagosympo blockade. At
Significant displacement of the mediastinal organs shows the puncture of the pleura with
Pading air with valve pneumothorax need repeated
pumping air or leaving a wide needle with a thin on it thin
rubber tube, the second end of which is lowered into the vessel with
Disinfectant solution. Resort to thoracoscopy with coagulation
Plot with valve. When accumulated fluid, treatment is carried out by
Principles of treatment of pleuritov.
