3 pneumothorax

PNEUMOTHORAX Xie Can Mao 1st Affiliated Hospital of Sun Yat-sen Universty

Introduction ,[object Object],[object Object],[object Object]

Introduction ,[object Object],[object Object],[object Object],[object Object]

Contents ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is pneumothorax ,[object Object],[object Object],[object Object],[object Object]

Classification of pneumothorax ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical typing of pneumothorax

Pathogenesis and mechanisms ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],Pathogenesis and mechanisms

Pathogenesis and mechanisms ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pathophysiology

[object Object],[object Object],[object Object],Pathophysiology Shows a similar cystic space, completely surrounded by pl pleura

[object Object],[object Object],Pathophysiology Lung parenchyma Surrounded by fibrous tissue

Blebs Male ， aged 22 Admission for“ explode dyspnea, left chest pain for 2 weeks ” . Historic left pneumotorax. 镜下见：左上叶表面见数个直径 0.5 ～ 3cm 肺大疱，部分随呼吸活动膨大缩小。

[object Object],[object Object],[object Object],Pathophysiology

[object Object],[object Object],[object Object],[object Object],Pathophysiology

Clinical typing of pneumothorax closed communicated tension Rupture small large valve-like sealed open in not out Pressure P or N atmosphere high After Aspiration N atmosphere high again

Clinical manifestation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical manifestation

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical manifestation

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Clinical manifestation

Clinical stability ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Evaluate the severity and make decision for treatment

Imaging- Plane chest X-ray film ,[object Object],[object Object],[object Object],[object Object],[object Object]

Plane chest X-ray film ,[object Object],[object Object]

Plane chest X-ray film ,[object Object],[object Object],[object Object],[object Object],[object Object]

Estimation of pneumothorax volume ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object], 100 Hemithorax (HT) Lung (L)

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Estimation of pneumothorax volume

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Plane chest X-ray film

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Plane chest X-ray film

CT scanning ,[object Object],[object Object],[object Object]

CT scanning bullae pneumothorax

CT scanning bullae pneumothorax pneumothorax

CT scanning Small pneumothorax Subcutaneous emphysema

Differentiation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Treatment

Observation - PSP ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Observation - SSP

[object Object],[object Object],[object Object],Observation - PSP or SSP

[object Object],[object Object],Observation - PSP or SSP

Simple aspiration ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Repeated and catheter aspiration

Catheter aspiration ,[object Object]

Intercostal tube drainage Fix the catheter and cover with gauze Making a small incision Using a forceps to extend the hole Inserting a catheter into pleural cavity

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Intercostal tube drainage

[object Object],[object Object],[object Object],Intercostal tube drainage

[object Object],[object Object],Intercostal tube drainage

Guidewire tube thoracostomy ,[object Object]

[object Object],Guidewire tube thoracostomy

Trocar tube thoracostomy ,[object Object],[object Object]

Trocar tube thoracostomy ,[object Object]

Operative tube thoracostomy ,[object Object],Is it brutal? No!

[object Object],Operative tube thoracostomy

One bottle system ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],One bottle system

Three bottle system ,[object Object],[object Object],[object Object],[object Object]

[object Object],Three bottle system

Observation of drainage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications of intercostal tube drainage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Chemical pleurodesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Chemical pleurodesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chemical pleurodesis

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Chemical pleurodesis

Surgical treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications of pneumothorax ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Complications

[object Object],[object Object],[object Object],[object Object],Complications

Complications Pneumomediastinum Pneumocardium Pneumoperitoneum Surgical emphysema

Complications Subcutaneous emphysema

complications ,[object Object],[object Object],[object Object],[object Object]

Case study ,[object Object],[object Object],[object Object],[object Object],[object Object]

Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Case study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

3 pneumothorax

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3 pneumothorax