Tension pneumothorax and what differentiation?

summary

Tension pneumothorax refers to the rupture of larger air bubbles or larger and deeper lung laceration or bronchial rupture, which connects with pleural cavity and forms one-way valve, also known as high-pressure pneumothorax. What is the difference between tension pneumothorax and tension pneumothorax? Let's talk about it

Tension pneumothorax and what differentiation?

Pulmonary bullae: the onset of pulmonary bullae is slow and the course of disease is long; Pneumothorax often has acute onset and short history. X-ray examination showed that the bullae were round or oval translucent areas, located in the lung field, and there were still small strip like texture in them; Pneumothorax is a strip shadow, located in the chest of lung field. The bullae around the lung are easy to be misdiagnosed as pneumothorax. The bullae line on the chest film is concave to the lateral chest wall; The convex surface of pneumothorax often faces the lateral chest wall, and chest CT is helpful in differential diagnosis. After a long period of observation, the size of bullae rarely changed, but the shape of pneumothorax gradually changed and finally disappeared.

Acute myocardial infarction: it has clinical manifestations similar to pneumothorax, such as acute chest pain, chest tightness, dyspnea, shock and so on. However, patients often have a history of coronary heart disease and hypertension, the nature and rhythm of heart sound change, and no signs of pneumothorax. ECG or chest X-ray examination is helpful for differentiation.

Chronic obstructive pulmonary disease and bronchial asthma: chronic obstructive pulmonary disease dyspnea is a long-term slow aggravation, bronchial asthma has a history of repeated asthma attacks for many years. The possibility of pneumothorax should be considered when dyspnea suddenly worsens and chest pain occurs in patients with chronic obstructive pulmonary disease and bronchial asthma. Chest X-ray examination can help to differentiate.

matters needing attention

The key to prevent tension pneumothorax is to improve health, that is, to strengthen nutrition and pay attention to rest; Secondly, exercise is necessary, but we should pay attention to exercise and life must avoid suffocation, try not to do anaerobic exercise, such as sprinting, carrying heavy objects and so on.