Can pneumothorax heal by itself?

Written by Han Shun Li
Pulmonology
Updated on October 24, 2024
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Pneumothorax is caused by a rupture of the pleura, allowing air to enter the pleural cavity, and it is relatively common clinically. Can pneumothorax be cured after it occurs? It depends on the specific circumstances. If it is a closed pneumothorax with a small amount of air accumulation, conservative treatments like rest and oxygen therapy can allow for self-healing of the pneumothorax. However, in most cases, the accumulation of air is generally significant, and often it is a tension pneumothorax. In these instances, treatments generally involve pleural cavity puncture, or closed pleural drainage to drain the air, making it difficult to heal spontaneously and requiring medical treatment. Moreover, some patients may not recover fully despite aggressive treatment and may require surgical intervention.

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Written by Xia Bao Jun
Pulmonology
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How is pneumothorax treated?

The treatment of pneumothorax aims to promote the reexpansion of the affected lung and reduce recurrence, while considering the possibility of eliminating the cause of the disease. Treatment measures include non-surgical and surgical treatments. Non-surgical measures include observation, thoracic puncture for air evacuation, closed thoracic drainage, and pleural fixation. Surgical treatments include thoracoscopic surgery and open chest surgery. Choices should be made based on the type and frequency of occurrence of the pneumothorax, the degree of compression, the state of the condition, and the presence of complications, etc. Most patients can be cured through non-surgical treatment, while only a minority, approximately 10%-20% of patients, require surgical treatment.

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Written by Yuan Qing
Pulmonology
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The fastest method for spontaneous pneumothorax recovery.

Pneumothorax is mainly caused by various reasons that allow air inside the lungs to enter the pleural cavity, resulting in the accumulation of gas and the compression of the lung, reducing its volume. Clinically, for patients with lung compression not exceeding 30%, a conservative approach is typically chosen, which involves allowing the patients to heal naturally. For these patients who wish to accelerate their recovery, it is generally recommended to inhale high concentrations of oxygen, which can aid in the healing of the lungs. Additionally, it is important to increase nutrition and protein intake to enhance lung repair and recovery.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
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Foods to avoid with pneumothorax

We know that the lung tissue of a normal person is like a balloon. When breathing, this balloon expands and contracts, and there are about hundreds of millions of small structures in the lungs like balloons, which we call alveolar tissue. This structure also continuously expands and contracts, expelling carbon dioxide and inhaling oxygen. For certain reasons, such as infection or due to the body shape of tall, thin young people, or chronic obstructive pulmonary disease (COPD) and bronchitis in elderly people, this alveolar structure can rupture, causing some alveoli to merge into a large bulla. Of course, if the large bulla eventually ruptures, the break in this balloon-like surface will leak air into the pleural cavity, causing a pneumothorax. As for the nutrition from food, we believe that patients should not refrain from certain foods, but should instead increase their intake of protein, such as eating three to four egg whites daily. If worried about high cholesterol, discard the yolk, consuming only one yolk per day, but ensuring adequate protein intake. Therefore, for patients with pneumothorax, it is not about avoiding certain foods, but about eating more of those foods to which they are not allergic, such as shrimp and beef, rather than restricting their diet.

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Written by Yuan Qing
Pulmonology
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How is the fluid in pneumothorax drained?

Pneumothorax with effusion is mostly due to trauma or structural issues in the lungs themselves, leading to lung rupture, accompanied by intrathoracic hematomas, effusion, or pneumothorax. This condition is known as hydro-pneumothorax. Generally speaking, the treatment method depends on the severity of the hydro-pneumothorax. Usually, a mild case can be absorbed by the patient naturally. However, if the pneumothorax occupies more than 30% of the thoracic cavity, closed thoracic drainage should be implemented, along with the removal of pleural effusion for absorption to take place. Of course, the specific disease must be clearly identified, which might require repair, tumor resection, or anti-tuberculosis treatment to ultimately address the cause of the disease.

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Written by Xia Bao Jun
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Pneumothorax tracheal shift to which side?

When a patient suffers a pneumothorax, the trachea is displaced to the opposite side, and the heart is also shifted to the opposite side. In cases of left-sided pneumothorax, the heart's dullness boundary and the upper boundary of the liver during right-sided pneumothorax are both undetectable. There can be manifestations of subcutaneous emphysema in the neck, chest, and even the head and abdomen. The patient may exhibit diminished respiratory movements and a significant reduction or absence of breath sounds. When a small amount of air accumulates in the pleural cavity, weakened breath sounds on the affected side may be the only suspicious sign.