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A pneumothorax occurs when air fills the pleural cavity (the space between your lung and chest wall). This can cause all or part of your lung to collapse. The main cause of a pneumothorax is an injury to the chest cavity that punctures the lungs. Damage may result from a stab or gunshot wound, car accident, fall, or certain surgical procedures. In some cases, a pneumothorax happens spontaneously, without an obvious cause.
You're more likely to have spontaneous pneumothorax if you smoke or have a chronic lung disease, such as emphysema.
Serious pneumothorax can be fatal if not treated. Call 911 for a bad chest wound or any of the following symptoms:
Sudden, sharp chest pain that may spread to your shoulder or back
Shortness of breath; trouble breathing
A bluish color to the skin
Loss of consciousness or feeling faint with any of the above symptoms
You will be examined carefully.
Your lungs and heart will be listened to through a stethoscope.
You may have x-rays or a computed tomography (CT) scan. A CT scan combines x-rays and computer scans to provide detailed pictures of your lungs.
You will be given help with breathing if you need it.
If the pneumothorax is small, you may stay in the ER for 5 to 6 hours to see if it gets any worse. If it does not get worse, you may be sent home without treatment and told to follow up with your regular doctor.
If the pneumothorax needs treatment, you will be admitted to the hospital. The air in your pleural cavity may be removed with a needle. Or, a hollow chest tube may be placed in your chest. This is attached to a suction device that removes the air. In that case, you will be admitted to the hospital for a few days.
After treatment, you will be told what to do to care for yourself and when to follow up with your doctor.