Tracheal displacement

Introduction 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. Tracheal displacement is important for the diagnosis of chest disease. Pleural effusion occurs when there is a pathological cause that causes an increase and/or a decrease in absorption. Pleural effusion is divided into two types: leakage and exudate.

Cause

When one side of the pleural effusion, gas accumulation or space-occupying new organisms, 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 Pull to the affected side.

an examination

Related inspection

Tracheal shift examination, bronchoscopy, bronchoscopy

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.

Differential diagnosis

Tracheal dislocation symptoms need to be identified as follows

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.

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.

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