Pnevmatoraks

[gen]

2 times were under a scalpel.

Pnevmatoraks the same lungs.

How often he can will repeat?

And that to breathe again is serious.

Can so badly it or him treat?

[gerdstroy]

And the violent emphysema is not present? If the spontaneous pheumothorax recurs, application sklerozirujushchej therapies (I do not know more particularly since do not wash it a kitchen garden) is possible or probable.

[LanaMS]

At relapsing spontaneous pheumothoraxes at an inefficiency of other therapy (bulektomija) it is applied plevrodez. Thus Talcum or Tetracyclinum that causes education of pleural solderings and an obliteration of a pleural cavity is entered into a pleural cavity. In your case it is necessary to make the following



1. HRCT (the computer tomogram with the high sanction sections of 2-3 mm with introduction vv contrast). Thus it is possible to reveal presence of bullas and their locating. At presence of individual bullas it is possible to be limited bulektomiej or at their compact locating to a segmentectomy.

2. In case there is a big pheumothorax it is possible to execute a thoracostomy and to wait its or his corrections. Plevrodez it can be spent both in operational at a thoracotomy, and by means of torakoskopicheskoj technics or technical equipment (it if is not present appreciable solderings and the lung is easily fallen down). In the latter case the narcosis is not required also procedure malotravmatichna.

[VeNDiGo]

It absolutely agree with opinion alex_md, conservative treatment of a violent dystrophia not razrabotanno more (how much or as far as I know there are only researches not dokazavishie their efficiency), chemical plevrodez (introduction by a syringe in a pleural cavity of preparations, including listed alex_md) is faster as attempt to warn next pnevmatoraks without a pleurectomy (operations on excision of a pleura) as a result of which already and pnevatoraksov cannot be and the dystrophia is slowed down. (excision only the amazed or struck sites of a lung do or make seldom because of frequent raspostranennogo lesions)

Here. Yours faithfully. (yes. Whether if suddenly again has appeared odyshka-an attribute next pnevmatoraksa??? Whether it is not necessary will address to the doctor?)