Is bulla rupture dangerous?

Some people still do not pay attention to their physical health even when they suffer from bullae. At this time, the bullae will be at risk of rupturing. After the bullae rupture, it will pose a certain threat to the chest cavity, and the lung interstitium will be damaged. Therefore, we must pay enough attention to the bullae, do not let it go, and provide correct and targeted treatment under the guidance and advice of the doctor. So, is ruptured bullae dangerous?

1. Control lung infection before surgery: give effective antibiotics and nebulizer inhalation to control bronchial inflammation, relieve bronchospasm, and reduce respiratory secretions.

2. No smoking: The incidence of postoperative pulmonary complications in heavy smokers is 2 to 3 times that of non-smokers. Stopping smoking for 48 hours before surgery can reduce CO-Hb content and improve oxygen supply. Stopping smoking for more than 2 weeks before surgery can improve the ability to clear secretions. Therefore, medical staff should advise and supervise patients to strictly abstain from smoking.

3. Chest X-ray: It can be used to understand lung lesions such as the size, location, number of bullae and lung collapse.

4 CT examination: It can show the relationship between pulmonary bullae and surrounding tissues, which helps to classify the bullae. For localized pneumothorax, it can reveal the range and location of the pneumothorax, which is helpful for guiding the thoracoscopic surgical approach and postoperative nursing observation.

5. For patients with tension pneumothorax or continuous air leakage, or those undergoing surgery for bilateral bullae at the same time, closed chest drainage and decompression should be performed before surgery to ensure the safety of the surgery. After the closed chest drainage tube is placed, the exhaust situation needs to be closely observed. It has been reported that the ruptured bullae have closed, and the continued air leakage is due to the closed drainage tube damaging the nearby lung tissue.

6 Preoperative guidance: Introduce the surgical method, the various preparations required before the operation, and the possible discomfort after the operation, and how to cooperate. For example, instruct patients to practice deep breathing, effective coughing, balloon blowing and other lung function exercises.

7 Psychological care: Thoracoscopic surgery has not been carried out for a long time in China, especially in our hospital, and has not yet been widely used and promoted. Therefore, although most patients are willing to receive treatment, they are afraid of the effects of the surgery and worry about the treatment results. To this end, we have developed corresponding nursing measures, and patiently and carefully explained to patients and their families the basic steps of thoracoscopic surgery, the differences between thoracotomy and general thoracotomy, its advantages, as well as the development of the surgery in recent years, its effects, and precautions during and after the operation, so as to achieve the best cooperation.