In the case of patient N.B.T (born in 1969, in Dong Anh, Hanoi) was transferred to the emergency department, the Central Hospital of Tropical Diseases in the state of shortness of breath, pain in the right chest, when inhaled, the pain appeared pain.cramping, causing discomfort.
The patient's family said that before hospitalization, Mr. T still went to work as every day.In the evening when he got home, Mr. T felt more tired than usual.He kept thinking that he was tired because the work on that day had to struggle a lot.However, at night, Mr. T felt difficult to breathe, could not sleep and had a pain in his right chest, when he was inhaled, he had a chest pain, so his family took him to the emergency room.
At the National Tropical Diseases Hospital, Mr. T was diagnosed with pneumothorax and was placed in time for emergency storage, supporting breathing.
After the emergency, Mr. T was comprehensive examination.Doctors discovered that Mr. T's lungs had many shadows, alveoli had many gas balls due to punctured lungs, overflowing into the pleura, causing the lungs to collapse, unable to expand, causing shortness of breath.
After that, Mr. T was transferred to the Department of Positive Resuscitation, was placed continuously, placing a breathing support machine.
Pictures of pulmonary pulmonary, perforation.(Photo: Thanh Thanh)
Mr. T's family said that he worked as a mason, with a history of smoking for many years (on average 1 bag/day).Recently, he has reduced daily smoking due to his health as before and also due to economic influence.
The doctor pointed out the cause of the lungs
According toBSCKII Khieu Manh Cuong, Specialty - Chest, Department of Hepatitis Mile and Oncology, Central Tropical Diseases Hospital, blood overflow - pneumothorax is quite dangerous, if not properly and promptly handled, this situation will be increasingly serious.Patients will have respiratory failure or blood loss, may cause shock in the case of blood overflow, air spill and patients are at high risk of death.
With the patient's condition, doctors have consulted and agreed to perform surgery to release the overflow of the pleura.
After consideration, the doctors conducted laparoscopic surgery to treat pneumothorax because this is a lesser treatment, reducing pain after surgery and shortening the postoperative time for the patient.
Sau phẫu thuật 5 ngày, bệnh nhân T đã hồi phục sức khỏe và bắt đầu tiến hành tập phục hồi chức năng hô hấp với các bài tập thở, ho, khạc, thổi bóng nhằm giúp phổi nở tốt, chống xẹp phổi và giúp đẩy dịch tiết ra hết bên ngoài.
According to Dr. Cuong, the reason for patients T suffered severe conditions was due to prolonged effort.Plus the patient has a habit of smoking regularly, making the lungs more seriously damaged.
Dr. Cuong noted that the case of patient T if not known first aid, the risk of death is very high.Therefore, for patients with difficulty breathing, fainting, first aid should carefully consider the condition of the patient, avoid emergency heart forced heart, causing the air to overflow the pleura, causing pulmonary compression and increasing the riskDeath.