Pneumothorax is the condition of filling the pleural space with air . The air travel may enter the pleural cavity either from exterior or through the leakage of air from the lungs . In both the cases , the pleural cavum forces the air take in the lungs to escape leading to lung prostration . If the pressure is progressively increased to such an extent that the vena cava gets compact , then the condition is known as latent hostility pneumothorax . When the air get in the pleural cavity by the overt injury and chest paries gets ruptured , it is known as undecided pneumothorax and when the strain is present in the pleural bodily cavity , but bureau wall is integral then the condition is have it off as closed pneumothorax .
The remainder between the open and closed pneumothorax look upon the type of harm that induce an open wound or a closed wound . In open pneumothorax , chest rampart is puncture , and the air enters the pleural cavity from outside as in the cases such as stabbing , hit man wounds etc . The connection between the lung and the pleural cavity is ruptured and the zephyr passing water in to the pleural tooth decay . This induce the lung to puncture while the air pressure in pleural cavity does not allow the lung to expand leading to the flop of the lungs . The pleural tear is intact , and the pleural dental caries pressure level is less than the atmospherical pressure . It occurs in status such as crashes , falls , CPR , COPD , and fractured ribs that fathom the pleura . broadly speaking , the thin people are at greater risk as compared to fat people due to the absence of the cushion provide by adipose tissue . In the unopen pneumothorax , chest wall stay entire , and the rift of lungs and visceral pleura countenance aviation to pass through into pleural blank space .
The strategy of the treatment is decide on the cornerstone of amount of air present and the symptom of the affected role . If the patient experience severe breathlessness , immediate medical help should be bring home the bacon . shut pneumothorax in a intelligent symptomless affected role require only monitoring . The affected role requires treatment who has large than 50 percent of pneumothoraces or if the affected role is on mechanically skillful ventilating system . The air should be drain through thoracostomy , if required and to prevent recurrence , tetracycline is sometimes used to produce pleurodesis .