Patient's question:
When taking a nap in the evening, I always feel a heavy oppression in my chest, and during the day, my chest also feels like it's being pierced with a knife. I have had a bulla for two months. How should a bulla be treated?Doctor's answer:
Pneumothorax is an irreversible lung inflammation, and surgery is the only treatment method. Currently, the majority of pneumothorax surgeries can be successfully completed under video-assisted thoracoscopic surgery (VATS). During the procedure, if a large pneumothorax is found, a wedge resection should be performed at the base of the normal lung tissue. For recurrent pneumothorax, the pneumothorax needs to be split, and pleural fixation should be performed simultaneously to create pleural adhesion and prevent the recurrence of pneumothorax. Methods of pleural fixation include frictional fixation of the parietal pleura, resectional fixation of the parietal pleura, and chemical fixation, among others. However, not all pneumothorax patients require surgical treatment. If multiple relatively small pneumothoraces are found incidentally and there are no clinical symptoms, surgery is usually not necessary. Only large pneumothoraces require surgical treatment.