Matters needing attention in spontaneous pneumothorax

I went to the hospital some time ago because of sudden dyspnea and chest pain. It's a spontaneous pneumothorax on the left side, and the left lung is compressed by 85%. Later, I was treated in the hospital for a period of time. After being cured, I still felt short of breath, irritable and flustered. I'm afraid I'll suddenly have spontaneous pneumothorax. What should I pay attention to after spontaneous pneumothorax recovers? ?

Doctor Hu

Hello: I suggest you treat under the guidance of a doctor.

Treatment of pneumothorax:

A, closed pneumothorax:

1, a small amount of pneumothorax can be absorbed by itself within 1-2 weeks without treatment. A large number of pneumothorax needs pleural puncture to discharge pneumatosis or pleural drainage to promote early pulmonary dilatation, and antibiotics to prevent infection.

2. Open pneumothorax: The first-aid treatment of open pneumothorax is to cover the wound with vaseline gauze, cotton pad and other sterile dressings, and then wrap it with adhesive tape or bandage to turn the open pneumothorax into a closed pneumothorax, and then puncture the pleural cavity to decompress and temporarily relieve the dyspnea.

After the patient was sent to the hospital, the further treatment was: oxygen transfusion to correct shock debridement, suture the chest wall wound, and closed thoracic drainage. If it is suspected that there is organ injury or active bleeding in the chest cavity, it is necessary to open the chest to stop bleeding, repair the injury or remove the foreign body. Antibiotics should be used to prevent infection after operation. Encourage patients to cough, expectoration and early activities.

Indications for closed thoracic drainage are:

(1) Pneumothorax, hemothorax or empyema need continuous exhaust, blood discharge or pus discharge;

(2) those who cut the pleural cavity.

3. Tension pneumothorax: The emergency treatment of tension pneumothorax is to expel air immediately to reduce the pressure in the chest cavity. The normal treatment of tension pneumothorax is to place a thoracic drainage tube at the highest position of pneumothorax and seal the bottle with water. If the air leakage is still serious after pleural cavity intubation and the patient's dyspnea has not improved, it often indicates that the lung and bronchus are seriously torn or broken, and it is necessary to open the chest as soon as possible to explore and repair the fissure or perform segmental or pneumonectomy. According to the general nursing routine of internal medicine and diseases in this system.

Disease observation

1. Observe the degree of chest pain, cough and dyspnea, and contact the doctor in time.

Dr. Zhou, doctor

1. Add a proper amount of high protein to the crude fiber diet.

2. The oxygen flow rate of oxygen inhalation in semi-supine position is generally above 3L/ min.

Stay in bed.

[Health Guidance]

1. Dietary care: eat more high-protein foods, not picky eaters, and eat coarse cellulose foods appropriately.

2. Avoid strenuous exercise, weight lifting and breath holding within 1 month after pneumothorax is cured.

3. Effective measures should be taken to keep the stool unobstructed for more than 2 days.

4. Prevent upper respiratory tract infection and avoid severe cough. Nursing of Spontaneous Pneumothorax Treated by Thoracoscope Preoperative Nursing 1 Preoperative Control of Pulmonary Infection: Effective antibiotics and atomized inhalation control bronchial inflammation, relieve bronchospasm and reduce respiratory secretions.

No smoking: The incidence of postoperative pulmonary complications of heavy smokers is 2-3 times higher than that of non-smokers. Quitting smoking 48 hours before operation can reduce the CO-Hb content, while quitting smoking for more than 2 weeks before operation can improve the ability to clear secretions. Therefore, medical staff should advise and supervise patients to strictly ban smoking.

Chest X-ray: You can know the size, location, number and collapse of the lungs.

4.CT examination: it can show the relationship between pulmonary bullae and surrounding tissues, which is helpful to classify pulmonary bullae. For localized pneumothorax, it can show the scope and orientation of pneumothorax, which is helpful to guide the approach of thoracoscopic surgery and postoperative nursing observation.

For patients with tension pneumothorax or persistent air leakage or patients with bilateral pulmonary bullae undergoing surgery at the same time, closed thoracic drainage and decompression should be performed before operation to ensure the safety of the operation. After placing the closed thoracic drainage tube, the exhaust situation should be closely observed. It is reported that the ruptured pulmonary bulla has been closed, and the continuous air leakage is caused by.

Doctor ni

Pleural cavity is composed of pleural wall and visceral layer, which is a closed potential cavity without air. Any reason why the pleura is damaged and air enters the pleural cavity is called pneumothorax.

Precautions:

1. Absolute bed rest in acute phase.

2. To maintain emotional stability, you should tell your inner feelings to doctors and nurses.

The doctor decides whether to perform thoracic puncture, exhaust or closed drainage according to your condition, which is an effective treatment for spontaneous pneumothorax. Understand its purpose, eliminate tension and cooperate with treatment.

4. If the dyspnea becomes worse during the treatment, please inform the doctor or nurse immediately.

5. Eat digestible food, such as vegetables and fruits, to avoid constipation.

6. Don't squeeze the twisted drainage tube by yourself during closed thoracic drainage, and avoid pulling the drainage tube when moving in bed to prevent it from twisting, shifting or falling off.

7, in the process of closed drainage, if you have to leave the bed for inspection or allow indoor activities, please contact the nurse, and then leave the bed after the nurse's assistance and disposal.

8. Don't do strenuous exercise such as playing ball or running within one month after pneumothorax is cured.

9. Avoid factors that induce pneumothorax, such as lifting heavy objects, coughing violently, holding your breath, preventing constipation, and quitting smoking at the same time.

The above is the suggestion on the question "What are the precautions for pneumothorax". I hope it helps you, and I wish you health!

Dr. Kong, doctor

Problem analysis:

Matters needing attention in spontaneous pneumothorax:

1, avoid lifting heavy objects, coughing violently, holding your breath and other factors that induce pneumothorax. To prevent constipation and give up smoking at the same time.

2. To maintain emotional stability, you should tell your inner feelings to doctors and nurses. 3. During the treatment, if the dyspnea becomes worse, please inform the doctor or nurse immediately.

4. It is an effective treatment for spontaneous pneumothorax for doctors to decide whether to perform thoracic puncture, exhaust or closed drainage according to the patient's condition. To understand its purpose, eliminate tension and cooperate with treatment.

Suggestion:

5, eat more high-fiber foods such as vegetables and fruits in the diet to avoid constipation.

6, closed thoracic drainage, don't squeeze, twisted drainage tube, at the same time in bed activities, avoid pulling drainage tube, prevent twisted displacement or fall off.

Doctor Guo

Alcohol and tobacco stimulation, especially smoking, can easily cause chronic lung and bronchial diseases and aggravate lung injury. You should stay in bed in a comfortable and quiet environment after the operation. Avoid exertion, keep the stool unobstructed, and take effective measures if the stool remains unsolved for more than 2 days.

Don't do traction and chest exercise for 3 ~ 6 months after discharge from hospital to prevent pneumothorax.

Prevent upper respiratory tract infection and avoid severe cough. Pay attention to reasonable nutrition in daily life, diversify foods as much as possible, eat more foods with high protein, multivitamins, low animal fat, digestible foods and fresh fruits and vegetables, do not eat stale or irritating things, eat less smoked, roasted, salted, fried and salty foods, and mix coarse grains with flour and rice in the staple food to ensure a balanced nutrition.

The above is the suggestion on the question "What are the precautions for pneumothorax". I hope it helps you, and I wish you health!

Wang dong

Analysis of illness: when the pleura is ruptured due to pathological changes or trauma, gas enters the chest cavity to form pneumothorax.

Suggestion:

Preventive measures for pneumothorax:

(1), pay attention to keep warm, avoid catching a cold, prevent lung infection, and make the condition worse.

(2) Quit smoking and go to public places as little as possible.

(3) A high-protein and high-vitamin diet promotes the recovery of the body.

(4) Gradually increase the amount of exercise to meet the needs of daily life.

(5), regularly to the hospital for review. It is best to drink as little as possible.

Doctor Hu

After pneumothorax, you should rest quietly immediately. Those who have oxygen at home can take oxygen. Those with mild symptoms do not need special treatment, so that the air entering the pleural cavity can slowly absorb the wound and gradually heal.

Patients with dyspnea, cyanosis and severe chest pain should not be delayed. It must be sent to the nearest hospital immediately for thoracic puncture and aspiration, and then continue to be closed for 24 ~ 72 hours until the pleural fissure is closed, and the air in the pleural cavity cannot enter the collapsed lung tissue to re-expand and restore ventilation function. Strengthen nutrition and keep the indoor air unobstructed.

The above is the suggestion on the question "What are the precautions for pneumothorax". I hope it helps you, and I wish you health!

Doctor Zhao

Disease analysis: Hello, the purpose of pneumothorax treatment is to promote lung dilatation, eliminate the cause and reduce recurrence. The basic treatment measures include conservative treatment, failure treatment, measures to prevent recurrence, surgical treatment and prevention of complications.

Suggestion: Pay attention to bed rest and strengthen nutrition. Remove the inducement and choose the appropriate treatment according to your own situation.

Doctor Liu

Problem analysis: According to your situation, your pneumothorax diagnosis is basically clear. Pneumothorax less than 30% can be absorbed by itself, and more than 30% need puncture or closed drainage.

Suggestion: First of all, it is suggested that if the amount of pneumothorax is small, blood transfusion should be used to fight infection, prevent chest infection, and observe the situation of chest cavity. If there is an increase, puncture aspiration or closed thoracic drainage is needed.

Dr.lee

Analysis of illness: Spontaneous pneumothorax is more common in young people, and it can be improved in one week with Yuanhu Zhitong Dropping Pills, Fenbid and Chlorzoxazone Capsules.

Suggestion: those that affect breathing can be absorbed by closed drainage, and generally can be treated conservatively. And it won't recur. Don't risk doing strenuous exercise. Generally, people who relapse several times need thoracoscopic surgery.

Come on, doctor, doctor.

Hello; It is suggested to reduce strenuous exercise within six months. You can do proper exercise after half a year. It takes some time for pleural scar healing after closed thoracic drainage. If you are not careful during this period, it may recur, and you can't cough violently.

When quitting smoking, you should take enough protein vitamins, avoid strenuous and breath-holding actions, and keep your stool unobstructed.

Doctor Dai

Disease analysis: hello, combined with the patient's situation, we still need to consider the situation of pneumothorax.

Suggestion: Second, if pneumothorax is needed, it needs emptying. Second, closed thoracic drainage is needed if necessary. I wish the patient a speedy recovery. Anti-infective treatment is needed.

Wang dong

Hello, matters needing attention after spontaneous pneumothorax is cured:

1, avoid lifting heavy objects, coughing violently, holding your breath and other factors that induce pneumothorax, prevent constipation, and quit smoking at the same time.

2. Maintain emotional stability

3. Eat more high-fiber foods such as vegetables and fruits in the diet to avoid constipation. If you feel unwell, seek medical advice promptly.

The above is the suggestion on the question "What are the precautions for pneumothorax". I hope it helps you, and I wish you health!

Dr. Cao

Usually, we need to pay attention to promoting a diet with high protein, high vitamins, low sugar and low fat. Do not eat or eat less animal fat and sweets (including sugary drinks). Eat more fruits and vegetables and foods rich in cellulose, and wish my mother good health!

Doctor ba

You can't exercise after you have a pneumothorax. You should pay attention to rest in your diet. Don't drink alcohol and avoid spicy food. If you feel unwell, check at any time. If the condition continues to deteriorate, you should go to the hospital for examination and treatment as soon as possible so as not to delay the condition.

The above is the suggestion on the question "What are the precautions for pneumothorax". I hope it helps you, and I wish you health!

Dr. Cao

Guidance: Hello; If you can take Chinese medicine for conditioning, it is recommended to see Chinese medicine in detail. Chinese medicine treatment should be treated by doctors based on syndrome differentiation. Everyone's physique is different, and the medication will be increased or decreased.

Doctor yang

Hello. Spontaneous pneumothorax should be considered or treated conservatively. If the compression area is greater than 30%, closed drainage of thoracic puncture is generally needed. It is recommended to go to the hospital for treatment.

Dr.yin

Guidance: this is generally symptomatic treatment, which can be treated by surgery and deflation. Usually, eating less spicy food and proper exercise can cure it.

Doctor Zhang

Avoid cold and cough after operation, moderately increase the activity, avoid strenuous exercise in a short period of time, and need to review the chest X-ray after operation.

The above is the suggestion on the question "What are the precautions for pneumothorax". I hope it helps you, and I wish you health!

Dr. Jiang, doctor

Avoid fatigue, increase nutrition and walk more.