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Medical treatment of active pulmonary reexpansion can not, you need to consider surgery. Surgical treatment is divided into three types: first, the traditional open heart surgery, trauma, the effects are, recovered slowly. The second, video-assisted thoracic surgery, trauma, pulmonary fistula ligation can also achieve the purpose of rapid recovery. Third, da Vinci robotic surgery, such as the recent introduction of surgical operation is accurate, less invasive, but expensive. Refractory pneumothorax radical a good idea: complete closure of the pleural cavity; otherwise, even if the surgery will likely relapse. From this line of thinking: doctors have been looking for with the parietal pleura visceral pleura completely (at least most of) the method of adhesion. Now common practice: all about re-expansion in the lungs, the blood in the pleural cavity itself into 40ml, or tetracycline 20mg/kg; or friction during the operation parietal pleura, parietal pleura of postoperative inflammatory reaction, prompting the visceral and parietal pleural adhesions. There are now applied more erythromycin, hypertonic sugar. 60 years of age or older may also consider the use of talc Medical Education Network Education `Collection, usually by thoracoscopic insufflation.
TreatmentShould be bed rest, oxygen, pain, cough, infection when antibiotics were prescribed.
II. Chest decompression:
(1) closed pneumothorax, pulmonary compression <20%, simple bed rest can be self-absorbed leisure


pneumothorax, lung compres 20% of the symptoms should thoracentesis pumping 1 / 1 ~ 2d times, each 600 ~ 800ml appropriate . (2) open pneumothorax, application closed thoracic drainage discharge, lung can not re-sheet form, can be added with the negative pressure continue to attract. (3) tension pneumothorax, the condition to be more critical exhaust decompression as soon as possible, while preparing immediately closed thoracic drainage or negative continue to attract.
III. Surgical treatment:
Medical treatment of active pulmonary reexpansion can not, you need to consider surgery. Surgical treatment is divided into three types: first, the traditional open heart surgery, trauma, the effects are, recovered slowly. The second, video-assisted thoracic surgery, trauma, pulmonary fistula ligation can also achieve the purpose of rapid recovery. Third, da Vinci robotic surgery, such as the recent introduction of surgical operation is accurate, less invasive, but expensive. Refractory pneumothorax radical a good idea: complete closure of the pleural cavity; otherwise, even if the surgery will likely relapse. From this line of thinking: doctors have been looking for with the parietal pleura visceral pleura completely (at least most of) the method of adhesion. Now common practice: all about re-expansion in the lungs, the blood in the pleural cavity itself into 40ml, or tetracycline 20mg/kg; or friction during the operation parietal pleura, parietal pleura of postoperative inflammatory reaction, prompting the visceral and parietal pleural adhesions. There are now applied more erythromycin, hypertonic sugar. 60 years of age or older may also consider the application of talcum powder, usually blown by thoracoscopy.
Prevention of common sense:
Treatment of pneumothorax is the key to timely treatment, if the closed pneumothorax, pressure symptoms and immediately with a long needle extraction, or for closed drainage, transformer pneumothorax immediately exhaust, or severe life-threatening. The history of pneumothorax or emphysema had, should guard against a sudden excessive force, shouting loudly, straining at stool. Prevention and treatment of respiratory tract infection is also an important factor in prevention of pneumothorax.

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