Will a ruptured alveolus repair itself?

In daily life, alveolar rupture is a relatively common lung disease. Alveolar rupture can easily affect the health of the lungs and lead to some lung complications, such as chest tightness or difficulty breathing. Alveolar rupture will not repair itself and requires timely treatment and more care.

Can a ruptured alveolus repair itself?

Alveolar rupture cannot repair itself and requires timely treatment.

【Diagnosis points】

(1) There is an obvious history of trauma. Be sure to ask about the time of injury. Condition and location.

(ii) All patients showed severe dyspnea, extremely rapid breathing, open-mouth breathing, and irritability. Shock may occur.

(iii) Extensive mediastinal and subcutaneous emphysema, purple pliers. The trachea is obviously displaced to the healthy side. The chest was tympanic on percussion, and breath sounds were absent on auscultation.

(iv) Chest X-ray showed a large amount of air accumulated in the injured side of the chest cavity, the lung was completely compressed and collapsed, and the mediastinum was shifted toward the healthy side. Often accompanied by hemothorax.

(V) Thoracentesis revealed a significant increase in chest pressure, and a large amount of gas could be extracted.

【Treatment points】

(I) Rapidly perform thoracentesis at the second intercostal space of the midclavicular line on the affected side to vent air and perform closed chest drainage. After 3 to 5 days, perform a chest X-ray. If the lung has re-expanded, the chest drainage tube can be removed.

(2) Use of sedatives, analgesics and antibiotics.

(3) Closely observe changes in the patient's condition and promptly handle complications and compound injuries.

Pneumothorax occurs. It is mainly divided into the following categories:

1. Primary pneumothorax: also known as idiopathic pneumothorax. It refers to pneumothorax that occurs in healthy people in whom routine lung X-ray examinations fail to reveal obvious lesions. It is more common in young people, especially thin and tall men.

2. Secondary pneumothorax: Its mechanism of occurrence is the formation of pulmonary bullae or direct damage to the pleura on the basis of other lung diseases. Bullae are often formed on the basis of chronic obstructive pulmonary emphysema or post-inflammatory fibrosis (such as silicosis, chronic tuberculosis, diffuse pulmonary interstitial fibrosis, cystic pulmonary fibrosis, etc.). The bronchioles are narrowed and twisted due to inflammation, producing a living valve mechanism. The enlarged emphysematous bubbles undergo degenerative degeneration due to nutritional and circulatory disorders.

3. Special types of pneumothorax:

(1) Catamenial pneumothorax: recurrent pneumothorax associated with the menstrual cycle.

(2) Pregnancy complicated by pneumothorax: mostly occurs in young women of childbearing age. Patients with this disease develop pneumothorax with each pregnancy. According to the time of occurrence of pneumothorax, it can be divided into early (3 to 5 months of pregnancy) and late (more than 8 months of pregnancy).

(3) Spontaneous pneumothorax in the elderly: Spontaneous pneumothorax occurring in people over 60 years old is called spontaneous pneumothorax in the elderly. In recent years, the incidence of this disease has tended to increase. There are more males than females. Most of them are secondary to chronic lung diseases (accounting for more than 90%), among which chronic obstructive pulmonary disease ranks first.

(4) Traumatic pneumothorax: It is usually caused by the lung being punctured by the broken ends of the ribs. It can also be caused by contusion or laceration of the bronchus or lung tissue due to violent force, or rupture of the bronchus or lung due to a sharp increase in airway pressure. Sharp weapon or firearm injuries that penetrate the chest wall and injure the lungs, bronchi, trachea, or esophagus can also cause pneumothorax, which is usually hemothorax or pyopneumothorax. Occasionally, closed or penetrating diaphragmatic rupture is accompanied by gastric rupture, causing pyopneumothorax.

[Pneumothorax] refers to the entry of gas into the pleural cavity, causing a state of gas accumulation, which is called pneumothorax. It is mostly caused by rupture of lung tissue and visceral pleura due to lung disease or external force, or rupture of tiny emphysematous bubbles near the surface of the lung, causing air in the lungs and bronchi to escape into the pleural cavity. It is more common in young and middle-aged men or those suffering from chronic bronchitis, emphysema, and tuberculosis. This disease is one of the pulmonary emergencies. In severe cases, it can be life-threatening, but it can be cured with timely treatment.