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After the bleb is formed the continuous rubbing causes the bleb to rupture causing a small hole in the lung that lets air out into the lung lining.
A primary SP usually occurs in healthy young tall skinny men between the ages of 10 and 30. These men usually have blebs on the top of their lungs because of a difference in plural pressure between the top and bottom of their lungs (Porth, 2004, 692)...
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People who dive or participate in high altitude flying can also have primary SP because of the changes in altitude (Merck, 2005).
A secondary SP occurs in people with extensive lung damage. Many types of lung diseases such as COPD, emphysema, cystic fibrosis, sarcoidosis, TB, and pneumonia can cause a secondary SP (Merck, 2005)...
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