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Treatment for a punctured lung varies depending on the severity of the trauma and the amount of damage to the lung.

It’s possible for a small pneumothorax to heal on its own. In this case, you may only require oxygen and rest to make a full recovery. A doctor may also release additional air around the lung by sucking it out through a needle, which allows the lung to fully expand.

For a large pneumothorax, a chest tube is placed through the ribs into the area surrounding the lungs to help drain the air. The chest tube can be left in place both for air drainage and also to help inflate the lung. In severe cases, the chest tube may need to be left in place for several days before the chest begins to expand.

Surgery may be required for people who experience repeated pneumothorax. A large puncture wound would also require surgery, as the lung tissue would not be able to close immediately and repair itself. The surgeons will likely work to repair the injury by going through tubes placed down the throat into the bronchial airways. Surgeons can also make an incision in the skin. Additionally, surgeons may place a tube to remove excess air, and they may have to suction out any blood cells or other fluids in the pleural space. The approach depends on the injury.