Collapse of one side of the thorax
Introduction
Introduction One side of the thoracic collapse can be caused by empyema or pleurisy, extensive pleural thickening adhesions and contractions, atelectasis, pulmonary fibrosis, chronic fibrotic tuberculosis, chronic lung suppuration and other diseases.
Cause
Cause
The cause of the collapse of one side of the thorax
Common with various pleural diseases and lung diseases. Such as atelectasis, lung atrophy, pulmonary fibrosis, extensive pleural thickening adhesions, lobectomy and so on.
Examine
an examination
Related inspection
Chest CT examination chest external examination chest radiograph
Examination of one side of the thorax collapse
The clinical manifestations vary with the primary disease. The trachea moves to the affected side, the thoracic contour of the affected side becomes smaller, and the common scoliosis of the spine is common.
Diagnosis
Differential diagnosis
One side of the thoracic collapse is confusing
Other thoracic abnormalities:
1 flat chest: the chest is flat, the anteroposterior diameter is less than half of the left and right diameter; the inclination of the rib is increased, the lower edge of the rib is lower, the upper abdomen angle is acute; the neck is slender, the clavicle is prominent, the upper and lower clavicle are concave, trapped Obvious; more common in elongated body type, can also be seen in chronic wasting diseases, such as tuberculosis.
2 barrel chest: the anteroposterior diameter is equal to or greater than the left and right diameter, and is in the shape of a barrel; the inclination of the rib is reduced to almost horizontal position, the rib gap is widened and sometimes full; the upper and lower clavicle are flattened or protruded, and the neck short shoulder High; the upper abdomen angle is obtuse; common in chronic obstructive emphysema and bronchial asthma, caused by excessive inflation of the lungs and increased lung volume; also seen in some elderly and short-skinned people.
3 rickets chest: also known as "chicken chest", chest changes caused by rickets, more common in children. The sternum is characterized by prominent lordosis in the lower part of the sternum, ribs on both sides, increased anteroposterior diameter of the thorax and narrowed left and right diameters. The thoracic upper and lower diameters are shorter and resemble the shape of a chicken breast. Sometimes the thickened ridges at the junction of the ribs and the costal cartilage are rounded. It is arranged in a beaded shape on both sides of the sternum, which is called rickets. The anterior chest is attached to the iliac muscle. Because the costal cartilage is stretched by the diaphragm for a long time, the lower rib can be turned outward to form a horizontal deep groove. It is a rib sulcus; if the sternum xiphoid is significantly invaginated, it sometimes invades together with the attached costal cartilage, which resembles a funnel, called a funnel chest.
4 side of the thoracic bulging more with rib space widened, if there is limited respiratory movement, trachea, heart shift to the healthy side, see a large amount of pleural effusion, pneumothorax, liquid pneumothorax, huge mass in the chest, etc. Localized chest wall bulge is seen in cardiac hypertrophy, massive pericardial effusion, aortic aneurysm, intrathoracic or chest wall tumor, chest wall inflammation, subcutaneous emphysema, etc.
5 Thoracic deformity caused by spinal deformity: The lordosis of the spine occurs in the lumbar spine and has no effect on the shape of the thorax; the kyphosis deformity (the kyphosis) occurs mostly in the thoracic vertebrae, the thoracic vertebrae bulge backward, the upper and lower diameters of the thorax are shortened, the ribs are close together, and the sternum Pulling inward, common in thoracic tuberculosis, the elderly, osteomalacia; when the scoliosis is deformed, the convex side shoulder height, the rib space widened, the contralateral rib space narrowed, found in thoracic disease, long-term posture is not Correct or developing deformity.
