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semilunar space)

an area of the left hypochondrium that produces tympanic pressure upon percussion; bounded on the right by the liver, on the left by the spleen, below and medially by the edge of the costal arch, above by the edge of the lung, behind by the stomach and colon.

1. Small medical encyclopedia. - M.: Medical encyclopedia. 1991-96 2. First aid. - M.: Great Russian Encyclopedia. 1994 3. Encyclopedic Dictionary of Medical Terms. - M.: Soviet Encyclopedia. - 1982-1984.

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TRAUBE SPACE- semilunar, an area in the lower part of the left half of the chest wall, shaped like a crescent, and giving a tympanic sound when percussed. T. p. corresponds to the anterior part of the left costal phrenic sinus of the pleura. It is limited... ...

- (L. Traube, 1818 1876, German therapist; synonym semilunar space) a section of the left hypochondrium that produces a tympanic sound upon percussion; bounded on the right by the liver, on the left by the spleen, below and medially by the edge of the costal arch, above by the edge... ... Large medical dictionary

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I Medicine Medicine is a system of scientific knowledge and practical activities, the goals of which are to strengthen and preserve health, prolong the life of people, prevent and treat human diseases. To accomplish these tasks, M. studies the structure and... ... Medical encyclopedia

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PLEURISY- PLEURITIS. Contents: Etiology......................... 357 Pathogenesis and pathology. physiology..."..... ZBE Path. anatomy.................... 361 Sukhoi P........... . ............ 362 Exudative P................... 365 Purulent P ... Great Medical Encyclopedia

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News about Traub space

Dr. med. Sciences S.G. Burkov, T.Yu. Kokhnenko Research methodology Ultrasound examination of the abdominal organs is carried out in the morning on an empty stomach after an overnight fast, however, in emergency situations, the examination can be performed at any time. In most cases, no special preparation is required, although
M. Osipenko Novosibirsk State Medical Academy, Novosibirsk City Gastroenterological Center Flatulence - excessive accumulation of gas in the gastrointestinal tract (GIT) due to its increased formation or impaired excretion - is a common syndrome

Discussion Traube space

Let me explain: they vented my grandmother’s intestines, then they checked her stomach (swallowed), injected her with painkillers, but nothing helped, the pain was the same, she couldn’t go to the toilet, everything was pulling down, her stomach and intestines too. We drink herbs, various tablets, textures - it doesn’t help. Diagnosis of colitis and gastritis with

TRAUBE SPACE semilunar, an area in the lower part of the left half of the chest wall, shaped like a crescent, and giving a tympanic sound when percussed. T. p. corresponds to the anterior part of the left costophrenic sinus of the pleura. It is limited on the right by the left edge of the liver, on the left by the spleen, below the edge of the costal arch, above and below the edge of the lung and is located in front of the air-containing fundus of the stomach and the adjacent section of the large intestine; the latter cause the tympanic sound over the T. p. The size of the T. p. can decrease (up to its complete disappearance) or increase in different directions depending on various pathologies. processes in the pleural space and adjacent organs. So, with an enlargement of the liver or spleen, T. decreases in the horizontal direction; with exudative pleurisy, hydrothorax, in the vertical direction (from top to bottom). In the latter case, with a comparatively small amount of liquid, percussion produces a dull band immediately below the clear pulmonary sound, and even lower - a section of tympanic sound; as the amount of liquid increases and the diaphragm is pushed downwards, the diaphragm can produce a completely dull sound. When fluid accumulates in the pericardial cavity, the pericardial cavity can decrease significantly (from top to bottom) in its middle part; it also decreases with subphrenic abscess. On the contrary, with insufficient expansion of the left lung after absorption of exudate and with a high position of the diaphragm, T. increases in its size. vertical size. - Determination of the size and shape of the item has no small diagnostic value. It is only necessary when assessing the relevant data to take into account the state of filling of the stomach and the adjacent section of the large intestine, since their filling b. or m. with dense masses or liquid gives a dull tone over the T. p., but in this case the dullness is of an unstable nature, disappearing after the passage of food into the small intestines or after defecation. Lit.: T rau be L., Halbraondformiger Raum, Berl. klin. Wochenschr., 1868, Ni 50.

See also:

TRAUBE PHENOMENON, see Vascular murmurs.
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TRACHEITIS, tracheitis, inflammation of the tracheal mucosa. Inflammatory diseases of the trachea are rarely isolated; more often the trachea is affected by descending, less often ascending catarrh of the upper respiratory tract. Most often, T. occurs during acute...
TRACHEAL(Trachoata), a subphylum of the phylum Arthropoda, embracing all Arthropoda, breathing through air-carrying tubes called trachea and opening with spiracles or stigmata outward; The tracheae are contrasted with the gill arthropods, or Branchiata (crustaceans). T. are divided...
TRACHELORAPHY(trachelorrhapia) was proposed in 1874 by Emmet for suturing old cervical ruptures. The operation is based on the principle of conservation surgery and from this side the idea of the operation deserves full attention. Cervical ruptures...

Decrease active mobility of the lower pulmonary edge is observed with: 1) compaction of the lung tissue (pneumonia, tumor); 2) congestive congestion of the lungs; 3) pulmonary emphysema (decreased elastic properties of lung tissue); 4) fusion of pleural layers; 5) increased intra-abdominal pressure.

è When percussion determination semilunar Traube space the patient is on his back.

è The pessimeter finger is placed perpendicular to the edge of the left costal arch. Percussion is carried out quietly towards the xiphoid process, then towards the spleen until the tympanic sound becomes dull. A mark is made along the edge of the finger facing the tympanic sound.

è Percuss in radial directions from the middle of the found length until the tympanic sound transitions to clear. A mark is made along the edge of the finger facing the tympanic sound.

è Determine the length and maximum height of the Traube space, as well as the shape of its upper contour.

Rice. 4.18. Definition of Traube's semilunar space

Heart percussion

Rice. 4.19. Clinical topography of the heart

The heart is “suspended” on large vessels (aorta, pulmonary artery, superior vena cava). 1/3 heart located in the anterior mediastinum to the right of the midline of the body, and 2/3 to the left. 2/3 of the heart is located above the base of the xiphoid process, and 1/3 is below. The longitudinal axis of the heart (long axis) is located at an angle of 40-60°.

Rice. 4.20. Cardiac percussion technique and its sequence

Right The border of the heart is determined by the intercostal space located 2 times higher than the height of the diaphragm (the “2 intercostal spaces” rule). Upper the border of the heart is determined along the left parasternal line, and left- along the intercostal space corresponding to the localization of the apical impulse. If apical impulse is not palpable, then percussion is performed in the 5th intercostal space. Finger plessimeter always placed parallel to the desired border of the heart. The boundary mark is drawn along the contour of the finger facing the pulmonary sound (i.e., along the outer contour of the finger). It is preferable to percussion with the patient standing. The left border is determined by orthopercussion (percussion blows are applied perpendicular to the frontal plane).

Rice. 4.21. Normal boundaries of relative and absolute

Dullness of the heart

Absolute stupidity- projection onto the anterior chest wall of the area of the heart not covered by the lungs (the area that produces a dull sound). Relative Dullness- projection onto the anterior chest wall of the area of the heart covered by the lungs (the area that produces a dull sound). In the clinic with percussion under border of the heart understand not the contour line, but a certain point on this line, as far as possible from the landmark. For determining relative stupidity is used medium strength percussion, and for absolute stupidity - quiet percussion. Soft percussion sets the width vascular bundle: percussion along the 2nd intercostal space on the right and left from the midclavicular lines to the sternum. The right and left borders (the appearance of a dull sound) are located along the corresponding edges of the sternum, and the diameter (width) of the vascular bundle is 5-6 cm.

Rice. 4.22. Determination of the upper limit of relative cardiac dullness

Rice. 4.23. Determination of the left border of relative dullness of the heart

è When defining boundaries absolute dullness of the heart first determine right border relative stupidity. Percussion is performed along the right midclavicular line from top to bottom until the clear sound becomes dull. A mark is made along the upper edge of the pessimeter finger and the intercostal space is indicated.

è The pessimeter finger is located parallel to the desired border 2 intercostal spaces above. Percussion is performed with medium force from right to left until the clear sound becomes dull. A mark is made along the outer edge of the finger and the distance from it to the edge of the sternum in the same intercostal space is determined.

è When determining the upper limit of absolute cardiac dullness, first determine top border relative stupidity. The plessimeter finger is placed parallel to the desired boundary and percussed with medium force along the left sternal line from top to bottom, until a clear sound transitions into a dull one. The mark is made along the upper edge of the finger and its level is indicated (2nd intercostal space, upper or lower edge of the 3rd rib, etc.).

è To determine the left limit of absolute cardiac dullness, first determine left border relative stupidity. To do this, the localization of the apical impulse is noted by palpation (the most lateral and lowest point where pulsation is still felt). Then a finger-pessimeter is placed outward from it, parallel to the desired border, and percussed along the corresponding intercostal space (if the impulse is not palpable, along the 5th intercostal space) from left to right, until the transition of a clear sound into a dull one. A mark is made along the outer edge of the finger and the distance from it to the midclavicular line is assessed.

Rice. 4.24. Determination of the right limit of absolute cardiac dullness

Rice. 4.25. Changes in the boundaries of the heart

; bounded on the right by the liver, on the left by the spleen, below and medially by the edge of the costal arch, above by the edge of the lung, behind by the fundus of the stomach and colon.

Large medical dictionary. 2000 .

See what “Traube space” is in other dictionaries:

See Traube space... Large medical dictionary

See Traube space... Medical encyclopedia