Pre- and postoperative psychological changes of pulmonary maculoplasty

  Although pulmonary blisters themselves are not life threatening, they can cause spontaneous pneumothorax if they rupture. Severe pneumothorax such as tension pneumothorax, hemopneumothorax, and tension hemopneumothorax can rapidly cause respiratory distress and venous return obstruction, resulting in respiratory distress, decreased blood pressure, and even death by shock. Therefore, pneumothorax is like an “untimely bomb” carried by the patient, even sneezing, coughing, laughing or breath-holding may detonate this “bomb” at any time. Due to the existence of this “untimely bomb”, patients are often under certain psychological pressure. Many patients who have had spontaneous pneumothorax without surgical treatment are afraid to participate in sports activities, to engage in physical labor, to go out alone, to cough and sneeze, and to be cautious even when breathing heavily due to the fear of re-rupture of the pneumothorax. The high prevalence of congenital herpes pneumonia is in people with high and thin body type, these patients are afraid to engage in sports activities and physical labor due to the existence of herpes pneumonia, and they are afraid of being called “big and stupid”, which causes patients to have low self-esteem and makes their quality of life significantly affected.  There is a 25-year-old female patient who had three ruptures of pulmonary blisters and pneumothorax, all of which were treated by closed drainage of the chest cavity without surgical treatment. Due to the fear of re-occurrence of pneumothorax, the patient was afraid to cough, and the patient was afraid to do any light physical work, and of course, she lost her job. As the patient reached the age of marriage, he was even more worried: what if the pneumothorax ruptured during pregnancy? What if a pneumothorax occurs during childbirth? One night in June 2010, the patient had her fourth pneumothorax and pneumothorax rupture at dinner without any cause. The patient presented to our hospital and finally made up his mind to undergo surgical treatment. The patient underwent a thoracoscopic double upper pneumonectomy. The patient, who had successfully defused the “untimely bomb”, was relieved and could finally enjoy a normal life. Therefore, pulmonary herpes is not only a threat to the patient’s physical health, but also affects the patient’s psychological health. A small thoracic surgery can not only relieve the impact of pulmonary herpes on patients’ physical health, but also relieve their psychological burden, so that patients can regain their physical and mental health.