Feng, a young programmer from Jiangxi who came to Beijing to start his own business, is thin, tall and handsome. After several nights of busy work, the program was finally adjusted. Sitting around with a few villagers, he decided to relax with a game of landlord. Playing poker is not like writing a program, in addition to skill, but also need luck, Xiao Feng is now in anxiety. It would be nice to be in a virtual chess room where you can use your own external package, he mused. Another round of card grabbing began, as the number of cards in his hand increased, Feng unconsciously accelerated breathing, pupils dilated, hands began to shake slightly, he seemed to hear himself “dong, dong” heartbeat —- hand of good cards, turned over. There is no suspense, the poker buddies basically no chance to breathe, Xiao Feng one after another, “bomb” Xiao Feng shouted, then threw out the last four cards in his hand, and then head back haha wild laugh. What happened next was a surprise to the villagers. Xiao Feng continued to lean back, and with a loud bang, he tumbled to the ground with his chair, and stomped over the card table. Then Xiao Feng began to gasp, as if not enough air, hand over the chest, from the teeth out of the two words, “chest tightness. The villagers immediately took a taxi to send Feng to the hospital. Outside the car window, seeing the words “North Medical Center”, Feng could not hold on any longer and closed his eyes. The body is usually as strong as a cow, what happened to Feng? Xiao Feng’s lungs exploded with laughter, Xiao Feng’s hometown said, according to medical terminology, Xiao Feng has a spontaneous pneumothorax. A life-threatening emergency in serious cases. We’ve all ridden bicycles, and bicycle tires are divided into inner and outer tires. Our respiratory system is like a bicycle tire, the lungs are the inner tire, when inhaling the inner tire inflates, when exhaling the inner tire shrinks, the gas inside exhales through the mouth. The outside can feel the rigid thorax is like the outer tire, and there is a gap between the inner and outer tire, which is the pleural cavity in medical terms. Just like the inner and outer fetuses are stuck together when the bicycle fetus is normal, the lungs and the thorax are also stuck together and there is only a small amount of fluid in the pleural cavity. Pneumothorax is the pleural cavity into the air, Xiaofeng this case is the lung broke, as if the inner tire broke, gas leakage to the inner and outer tire between. As mentioned earlier, generally speaking, when we inhale, the air goes into the lungs, and when we exhale, the air goes out of the mouth of the lungs. In Xiao Feng’s case, the gas is inhaled into the lungs, but the gas goes from the broken mouth on the lungs to the chest cavity, and then it accumulates there. The more you breathe in, the more gas accumulates in the chest cavity, the outer tire is hard, so finally the gas takes up the position of the chest cavity, the lungs have no place to expand, and you can’t breathe in. Normal people work with two lungs, the left and the right, one side of the lung can not enter the air, only one lung left to work, naturally, there will be problems. Why do lungs break on their own? That is, why do you have spontaneous pneumothorax? Medical research has found that most of the reasons, have to do with the patient’s thin and tall body type. That is, young people, during puberty, increase their height significantly and the lung tip is stretched thin, making it easy to form a pneumothorax. Just like a blister that starts when the skin is burned is easily rubbed, a pulmonary blister is also more prone to rupture than normal lung tissue. Only, a blister breaks and leaks water, while a pulmonary blister breaks and leaks air into the chest cavity. Pulmonary blisters may usually rupture when the lungs are suddenly inflated, that is, when you suddenly take a deep breath. For example, coughing, laughing, running, and swimming are all causes of pneumothorax triggers. Of course there are quite a few patients who are lying down. They may not have an obvious trigger and perhaps are not thin and tall, and then a spontaneous pneumothorax occurs. Treatment-wise, the first step is to drain the gas from the chest cavity in time to release the compression on the lungs and allow the patient to resume normal breathing. Then, some of these patients’ lung ruptures can grow back on their own, just like the skin will grow back on its own, and the pneumothorax will be recovered. The other part of the patient needs surgery to remove the lung blister and repair the air leak. Nowadays, the surgical methods used in surgery are minimally invasive thoracoscopic methods. It is as if the police used to catch criminals by breaking into the door to see what is going on inside. Nowadays, a camera can be inserted through the door to understand the situation inside the house. Thoracoscopy is to make a hole and insert a camera, replacing the previous method of opening a large mouth. Besides life threatening, another problem of spontaneous pneumothorax is that it can recur, and thoracoscopic surgery is an important way to reduce the recurrence rate. Back to the story earlier, because of respiratory failure, Xiao Feng was sent to the resuscitation room. The thoracic surgeon did a closed chest drainage for him. With the drainage of gas from the pleural cavity, Xiao Feng’s lungs had room to expand and in less than an hour, Xiao Feng came to his senses as his respiratory function was restored. Since the rupture of the pulmonary blister could not grow back on its own, we performed thoracoscopic pneumothorax surgery on Xiaofeng, who recovered well. Six months later we followed up with Xiao Feng, as a coder, he was still busy at work and still loved to play landlord, but had less free time. Although playing cards once out of condition, he still likes to sit with friends in real life, this kind of joy is virtual chess room can not replace, and this time the lungs will not be blown up with laughter.