Learn about triple syndrome in pleural effusion

The article was consulted professionally by Master, Dr. Dang Xuan Cuong – Department of Emergency Resuscitation – Share99 Hai Phong International Health Hub. The doctor has 14 years of experience in the field of emergency resuscitation and anti-toxicity.

Triple syndrome decreases in pleural effusion including vibration reduction, chisel typing, sound reduction. This is a syndrome detected by clinical examination in patients with suspected pleural effusion.

Triple syndrome decreased in pleural effusion including: Reduced bar vibration; chiseling and sound reduction. The specific expression is as follows:

1. Vibration of the reducing bar

Vibration is the sound of the patient passing through the chest wall and bouncing into the palm of the physician placed on the patient's chest and the chest is considered as a resonance that transmits sound from the remandment of sound from the remand.

To examine:

  • The patient sits shortly, the physician puts 2 hands on the sides of the chest symmetrically, the fingers are horizontal according to the rib intervals, the palms are close to the chest.
  • Tell the patient to count 1,2,3 then the patient's voice will vibrate into the palm of the physician
  • Top-down examination, from before.
  • Always compare the two sides.

In case of pleural effusion due to a decrease in the amount of water separating the lung tissue and the examinee's hand, vibration is reduced or lost.

Reduced bar vibration is also seen in the case of pneumothorax.

2. Chisel typing

To examine:

  • The physician uses the middle finger of the right hand to knock on the back of the fingers of the left hand preset on the patient's chest – The fingers are horizontal in inter-rib intervals
  • Type from the top ; on the Right left; First Later.
  • And always compare the two sides.

Normally the knock in, the heart area, the liver is opaque.

Learn about triple syndrome in pleural effusion

Pleural effusion

In case of pleural effusion in positions with fluid will hear opaque knocking (deep toys).

  • Free pleural effusion tends to flow to the low area, so: Low perforation, turbidity changes with the position.
  • Resident efficion : Opaque typing depending on the location of the epidemic, these cases are often difficult to detect by typing, mainly detected by radio radio.
  • Knocking along the inter-rib cavities, from top to bottom, can be seen the upper boundary of the turbidity is a parabolic curve with the lowest point near the spine, the highest in the armpit area, and goes round low in front of the chest. Corresponding to damoiseau curve (on X-ray film).
  • Type the chisel corresponding to the reduced or lost bar vibration area.

Opaque typing is also encountered in cases such as: Special lungs, collapsed lungs ….

3. Alveolar fence drops

The alveolar barrier is caused by air entering the alveoli , slightly vortexing into the alveolar wall to make a slight noise on the perinagus. To detect the alveolar barrier the physician uses headphones applied to the chest wall of the patient.

  • Listening position : Front area of the chest and back, hear from top to bottom and compare the sides.
  • Listening time: during the inhalation period and the beginning of the exhalation period
  • Normal properties: constant, soothing and low intensity.

In case of pleural effusion:

  • Because there is a layer of translation separating the lung cuticle and the chest wall, the sound impedes, the examiner may see a decrease or loss of alveolar barrier.
  • The alveolar barrier is reduced or lost corresponding to the area with pleural fluid and corresponds to the vibrator vibration area and the opaque typing area.

In addition, the alveolar barrier can be reduced or lost in cases such as: Thickening of pleural membranes, fat people into thick breasts, pneumothorax, collapse of the lungs …

Learn about triple syndrome in pleural effusion

See a doctor to diagnose the disease as soon as possible

Triple syndrome decreased in pleural effusion including reduced or lost bar vibration; Chisel typing; Alveolar fences decrease or lose. In order to detect the triple syndrome, the physician needs a physical examination, these three signs are very valuable in the diagnosis of pleural effusion. Help physicians guide diseases, give appropriate subclinical instructions, help diagnose diseases early, handle them promptly.

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About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.


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