Tracheal displacement check

The tracheal shift check is to check whether the trachea is displaced. Causes of tracheal dislocation When one side of pleural effusion, gas accumulation or space-occupying neoplasm, the trachea is pushed to the healthy side due to increased intrathoracic pressure; when one side of the atelectasis, pleural thickening and adhesion The trachea is pulled to the affected side. Let the patient head in the middle position, use the right middle finger to touch the trachea along the sternal notch. The index finger and the ring finger are on the left and right sides of the sterno-lock joint respectively. See if the middle finger is equidistant from the other two fingers, or touch the trachea with the middle finger. The size of the gap between the middle finger and the thoracic muscles on both sides to determine whether the trachea is displaced. Basic Information Specialist Category: Respiratory Examination Category: Other Inspections Applicable gender: whether men and women apply fasting: not fasting Tips: Pay attention to normal eating habits and pay attention to personal hygiene. Normal value The trachea is intact and there are no lesions. Clinical significance The tracheal displacement caused by the thyroid mass is generally closely related to the size of the thyroid mass. When the mass is large, the tracheal displacement is obvious, and when the mass is small, the displacement is not obvious or there is no displacement. Abnormal results: When the neck, tumor, inflammation, hematoma, deformity and hyperthyroidism are large, the neck can be compressed and the symptoms can be compressed. For example, the trachea is displaced and the blood is narrowed and the breathing is affected, resulting in difficulty in breathing. The trachea is stressed or suffocated due to collapse. People who need to check: Patients with neck, tumors, inflammation, hematoma, malformations, and hyperthyroidism that compress the trachea and produce various symptoms. Precautions Forbidden before examination: Pay attention to normal eating habits and pay attention to personal hygiene. Requirements for inspection: Actively cooperate with the doctor. Inspection process Let the patient head in the middle position, use the right middle finger to touch the trachea along the sternal notch. The index finger and the ring finger are on the left and right sides of the sterno-lock joint respectively. See if the middle finger is equidistant from the other two fingers, or touch the trachea with the middle finger. The size of the gap between the middle finger and the thoracic muscles on both sides to determine whether the trachea is displaced. Fiberoptic bronchoscopy: Fiberoptic bronchoscopy is a new examination technique used in the clinical practice in the 1970s. After the application of this inspection technique, great progress has been made in the diagnosis and treatment of lung diseases. It is a revolution in the study of lung diseases, plays a decisive role in the diagnosis and treatment of lung diseases, makes many diseases clear the cause, and also causes many lung diseases to be treated. Bronchography: Bronchography is a direct examination of bronchial lesions. The diagnosis is good, but the patient has some pain. Bronchography is one of the important examination methods for chest diseases, and it has a positive diagnostic value for bronchial diseases. It can determine the location, extent and nature of the lesion, and provide a basis for clinical selection of effective treatments. Not suitable for the crowd Inappropriate crowd: No.

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