Problem description: No smoking, no alcohol, stage III pneumoconiosis, 50% of the right pneumothorax in September last year, chest drainage, 23 days of hospitalization and discharge, re-examination of a small amount of pleural effusion; left in March this year 25% pneumothorax, a small amount of pleural effusion, conservative treatment for 7 days and discharged; about 20 days after discharge, chest tightness and asthma were admitted to the hospital, CT showed 85% pneumothorax, a small amount of pleural effusion, pleural drainage pneumothorax, the effusion will also be discharged, 40% review, Recheck 15%, and close the drainage tube for 25% recheck for three days. The accumulated fluid discharged is more than 2,000 ml. It is dark yellow. It has been drained for 18 days. There are still gas and effusion.
The date of the problem :2021-05-17
Patient information:Age: 35 years old Gender: Male
Problem analysis: Three years of pneumoconiosis, last year The right pneumothorax was drained into the hospital for 23 days, and 85% of the pneumothorax and pleural effusion were re-examined today. After 20 days of drainage, there is still gas and effusion?
Guide suggestion: I have suffered from pneumoconiosis for three years, right pneumothorax for two years, pleural effusion and gas, after treatment, there is continuous effusion, chest tightness and asthma, should be recommended to go to the top three hospitals Experts go to a doctor to find out the cause of pneumoconiosis can form bullae. The rupture of bullae under the pleura of the lung is the main cause of pneumothorax. The fibrosis of the pleura and the stretching and contraction of fibrotic tissue can also cause pneumothorax, so it should be treated as soon as possible.
Suggestions are for reference only. If the problem is serious, please go to the hospital for detailed examination