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 Wang Chun Mei
Pulmonology
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Can pneumothorax measure lung capacity?

Pneumothorax is a very common type of disease, caused by many and complex factors. It is classified into three different types based on individual conditions, so different types of pneumothorax lead to different clinical symptoms and consequences for the patient. Usually, it is not advisable to measure lung capacity immediately after a pneumothorax occurs. For lighter cases, it is recommended to wait at least half a month before measuring lung capacity. If the pneumothorax is severe, the interval may need to be over a month before conducting lung capacity measurements. Therefore, while patients with pneumothorax can have their lung capacity measured, this should only be done once the condition is effectively managed.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
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Pneumothorax recurrence symptoms

We know that normally there is no air in the pleural cavity, only a small amount of fluid or lubricant exists. However, in certain people, such as those who often smoke, tall and thin young people, and patients with chronic bronchitis, the alveoli in their lungs tend to be more fragile and can easily rupture. People experiencing a pneumothorax for the first time might feel this during certain situations like after a cold, coughing, sneezing, or playing sports, which can lead to a recurrence of the pneumothorax. Early symptoms of a recurrence, due to only a small amount of air compression, might not be very uncomfortable, just a slight sense of difficulty breathing. As the pneumothorax increases, symptoms like chest pain and difficulty breathing can develop. Therefore, the symptoms of a recurring pneumothorax are not identical each time, but there is a pattern; the severity can range from mild breathing difficulty to severe respiratory distress and chest pain.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
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Pneumothorax is more likely to recur in which season?

Regarding the seasonal issue of pneumothorax recurrence, the causes of pneumothorax vary among patients of different ages, so the seasons prone to recurrence are also not exactly the same. For young patients, pneumothorax tends to recur easily, often in thin and tall patients, usually related to recent colds and coughs, or intense physical activities like basketball, soccer, or seasons with more outdoor activities; these times are relatively more prone to recurrence. Particularly, the cooler seasons of spring and fall are also prone to recurrences. However, for elderly patients, the causes of pneumothorax recurrence are usually associated with smoking in older patients, or a history of chronic obstructive pulmonary disease and bullae. For these elderly patients, recurrences typically occur in the autumn and winter seasons. This is because the autumn and winter seasons are comparatively more problematic for patients with chronic bronchitis and obstructive lung diseases. Thus, pneumothorax recurrence in young people often happens more in the spring and autumn, while in older people, it occurs more in the autumn and winter seasons.

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Written by Han Shun Li
Pulmonology
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Pneumothorax pleurodesis: what are the advantages and disadvantages?

Pleurodesis for pneumothorax involves injecting a sclerosant into the pleural cavity to induce a sterile inflammation, causing adhesion of the parietal and visceral pleurae, thereby eliminating the pleural space. This can be used to treat pneumothorax. The benefits include a high success rate, simple operation, and low recurrence rate. The downside is that there can be adverse reactions, the most common being chest pain and fever; severe cases may cause acute respiratory distress syndrome. Therefore, extra care is needed during the pleurodesis procedure.

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Written by Li Tao
Pulmonology
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What are the symptoms of pneumothorax?

Pneumothorax refers to the accumulation of air that occurs when air enters the pleural cavity, a closed space, which is known as pneumothorax. The most common clinical manifestations of pneumothorax depend on the speed of onset, the degree of lung compression, and the etiology of the primary disease causing the pneumothorax. Typically, patients may experience a high level of mental tension, fear, restlessness, shortness of breath, and a feeling of suffocation. Some individuals may sweat, have an increased pulse rate, with the most prominent symptom being difficulty in breathing. Additionally, some patients may experience coughing and chest pain, and some may develop mediastinal emphysema, leading to gradually worsening respiratory difficulties, and even manifestations of shock such as a drop in blood pressure.