What is the supine position of spontaneous pneumothorax?

summary

Spontaneous pneumothorax belongs to the pathological condition of pneumothorax after lung leakage. It often occurs on one side, which is called "affected side", while the healthy side is called "healthy side". After the onset of the disease, due to the compression of one side of the lung, there is often chest tightness. If the gas accumulation exceeds the volume of one side of the chest, the mediastinum will be pushed, which is called "tension pneumothorax", and will soon endanger life. So what is the supine position of spontaneous pneumothorax?

What is the supine position of spontaneous pneumothorax?

The human body also has a diaphragm to separate the chest from the abdominal cavity. When the chest is in the supine position, the diaphragm will rise to varying degrees, and the chest will shrink, which is more obvious in obese people. Therefore, in order to keep the chest larger and keep enough breathing movement to maintain breathing, it is better to use the semi supine position. For example, when the drainage tube has been placed on the affected side, the healthy side position or the 45 degree position on the healthy side can relieve fatigue for a short time. When the drainage tube is not placed, the mediastinum and heart are affected by gravity, and the healthy side position will slightly compress the healthy side lung, so it can be changed to the affected side position, And often adjust to relieve discomfort. Sometimes spontaneous pneumothorax will be combined with pleural effusion or hematocele (caused by tear of adhesive band). Supine position will increase the compression of the lung. It is also better to be in semi supine position. However, when there is shock, palpitation and low blood pressure, supine position should be adopted.

The clinical symptoms of spontaneous pneumothorax are related to the speed of gas entering the chest, the volume of gas in the pleural cavity, the basic lung diseases and the state of lung function. The typical manifestations were sudden onset, sudden chest pain, irritating dry cough, chest tightness and dyspnea on the affected side, and preferred healthy lateral position.

The onset of the disease is sudden. Some patients often have severe cough, exertion, severe physical activity and other inducements before the onset of the disease. However, most patients suddenly feel chest pain on one side during daily life or rest, such as knife dissection or acupuncture, and then feel chest tightness, shortness of breath, dyspnea, and may be accompanied by irritating cough. If the patient has severe emphysema or large gas accumulation, it may cause severe dyspnea and cyanosis, and the patient can not lie on his back. If he lies on his side, he will be forced to lie on the affected side of pneumothorax (the affected side is on the upper side, so it should be in the healthy side position) to reduce dyspnea.

matters needing attention

If you have pneumothorax, you should pay attention not to use too much force. Take a walk every morning and evening and eat more food that is helpful to digestion. It's better to eat vegetables and fruits containing crude fiber. You should keep your stool unobstructed, because once you have constipation, you will exert yourself and have the possibility of recurrence. Usually, you should drink more water and eat more fruits.