Are the symptoms of pneumothorax severe?

Written by Han Shun Li
Pulmonology
Updated on September 24, 2024
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Pneumothorax is caused by a rupture of the pleura, allowing air to enter the pleural cavity. The severity of symptoms after suffering from pneumothorax can vary, with common symptoms including coughing, chest pain, chest tightness, and difficulty breathing. The severity of symptoms largely depends on the amount of air in the pleural space. If the amount of air is small, symptoms might not be noticeable. However, with a larger amount of air, difficulty breathing can be quite severe. In cases of tension pneumothorax, the symptoms can be extremely severe and may even lead to respiratory and circulatory failure in a short period. Patients often experience significant chest tightness, restlessness, dry skin, heavy sweating, and may even lose consciousness. Immediate treatment is necessary, as there could be a risk to life.

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Written by Han Shun Li
Pulmonology
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Can pneumothorax heal by itself?

Pneumothorax is caused by a rupture of the pleura, allowing air to enter the pleural cavity, and it is relatively common clinically. Can pneumothorax be cured after it occurs? It depends on the specific circumstances. If it is a closed pneumothorax with a small amount of air accumulation, conservative treatments like rest and oxygen therapy can allow for self-healing of the pneumothorax. However, in most cases, the accumulation of air is generally significant, and often it is a tension pneumothorax. In these instances, treatments generally involve pleural cavity puncture, or closed pleural drainage to drain the air, making it difficult to heal spontaneously and requiring medical treatment. Moreover, some patients may not recover fully despite aggressive treatment and may require surgical intervention.

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Written by Li Jie
Orthopedics
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How to treat rib fracture and pneumothorax?

After a rib fracture, if a pneumothorax occurs, it is a very serious complication. There are three types of pneumothorax: closed pneumothorax, open pneumothorax, and tension pneumothorax. The simplest is the closed pneumothorax. If the area of lung compression in a closed pneumothorax is less than 30%, there is a hope for self-healing, and generally no special treatment is needed; if the lung compression exceeds 30%, it might be necessary to place a closed thoracic drainage tube to drain the air accumulating in the chest cavity, which may need to stay in the chest cavity for about a week. This is the treatment for a closed pneumothorax. If it is an open pneumothorax, it means there is an open wound on the chest. The treatment principle is to convert the open pneumothorax to a closed pneumothorax, which means sealing the wound, turning it into a closed pneumothorax, and then taking x-rays to assess the degree of lung compression. If the compression is significant, closed thoracic drainage is still necessary; if the compression is less severe, observation can continue. For a tension pneumothorax, it is the most severe type of pneumothorax and must be taken very seriously. Emergency placement of a closed thoracic drainage is recommended and must be handled promptly, as it could pose a life-threatening risk. In summary, once a pneumothorax occurs following rib fractures, it must be taken seriously. It is necessary to go to the hospital's thoracic surgery or orthopedic department for formal and timely treatment to prevent potentially severe consequences.

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Written by Hao Ze Rui
Pulmonology
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What are the main signs of pneumothorax?

If it is a small amount of pneumothorax, the physical signs are generally not obvious, especially when patients with emphysema develop pneumothorax, it is difficult to detect any signs. However, when a larger amount of pneumothorax occurs, inspection will reveal that the affected side of the chest is bulging and respiratory movements are reduced. Upon palpation, the trachea usually shifts towards the healthy side, tactile fremitus on the affected side is reduced, percussion results in hyperresonance or tympany, and auscultation shows reduced breath sounds, which can disappear in severe cases.

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Written by Han Shun Li
Pulmonology
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Can pneumothorax recover by itself?

Pneumothorax is caused by a rupture of the pleura, allowing air to enter the pleural space. Patients often display symptoms such as coughing, chest pain, chest tightness, and shortness of breath. A lung radiograph can confirm the presence of a pneumothorax. Whether a patient with pneumothorax can recover on their own depends on the size of the pneumothorax. If it is a large pneumothorax, especially a communicative or tension pneumothorax, self-recovery is not possible, and treatment generally involves pleural puncture or pleural drainage tube placement. However, if the amount of air in the pneumothorax is small and the patient does not exhibit severe symptoms, then it is possible for the condition to resolve itself with bed rest.

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Written by Han Shun Li
Pulmonology
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Spontaneous pneumothorax and the difference between pneumothorax.

Simply put, spontaneous pneumothorax is a type of pneumothorax. In the classification of pneumothorax, besides spontaneous pneumothorax, there are also traumatic pneumothorax and iatrogenic pneumothorax. Traumatic pneumothorax is caused by direct or indirect injury to the chest wall, while iatrogenic pneumothorax occurs during medical diagnosis and treatment. Spontaneous pneumothorax often involves underlying lung diseases, such as emphysema, lung bullae, tuberculosis, lung cancer, and pneumoconiosis. It can also occur in healthy individuals without obvious lung abnormalities, typically seen in tall, thin males of young to middle age.