What are the principles for the management of open pneumothorax?
In the types of pneumothorax, closed pneumothorax, open pneumothorax and tension pneumothorax, due to different reasons when the chest cavity can be communicated with the outside atmosphere, the resulting open pneumothorax will be life-threatening in severe cases, so the first aid measures for open pneumothorax are particularly important, so what are the treatment principles of open pneumothorax? Let's find out!
1. First aid treatment
First aid personnel can check that there is a visible wound in the chest cavity of people with open pneumothorax, and because the chest cavity and air are interconnected, the use of stethoscope can clearly hear a "hiss-hiss" sound or mediastinal swing sound with the breathing rate, so once such a pathological reaction occurs.
The most effective first aid measure is to convert an open pneumothorax into a closed pneumothorax, and according to the physical environment conditions of the scene, try to find the first aid tools that can be found as much as possible, such as sterile gauze or towels, to close the wound in contact with the air, so as to win more golden rescue time for the injured.
2. Further treatment after first aid
In the process of transfer, the first aid personnel present should pay attention to prevent the covering of the wound of the injured person's chest cavity from loosening or slipping, and at the same time, the covering of the wound site should not be replaced at will, and after certain basic medical measures are given, they should pay close attention to prevent the transformation of open pneumothorax into tension pneumothorax.
The first medical measure to be taken after arriving at the hospital is to supply oxygen to avoid respiratory disorders, transfuse the blood volume matching with the injured to prevent the occurrence of shock, and at the same time check the specific injuries of the lungs, bronchials, blood vessels and heart of the injured under the condition of relatively complete medical equipment in the hospital, and then clean up the injured parts, suture the wound parts in contact with the atmosphere, and then do closed chest drainage to guide lung recruitment and improve the operation of the respiratory and circulatory system. It is also useful to observe injuries to other organs and tissues in the chest. If there is bleeding and air leakage in other organs and tissues, surgery should be performed promptly.
3. Postoperative treatment
After the operation, antibiotic treatment is the main treatment, and in the rehabilitation activities, moderate activity to avoid the occurrence of infection.
The above is an introduction to the principles of open pneumothorax, mainly from the first aid measures, surgical treatment and postoperative recovery to illustrate the treatment measures of open pneumothorax injury, open pneumothorax is a more dangerous physical trauma, if you can carry out simple and effective first aid measures according to the principle of developmental pneumothorax treatment in the golden rescue time, you can prevent the deterioration of the injured as much as possible, and avoid the occurrence of life-threatening conditions of the injured.