Meaning of traube space in medical terms. According to topographic percussion See what "Traube space" is in other dictionaries

Publication date: 26-04-2013

The upper border of the exudate looks like a curve - the so-called Sokolov-Damuazo parabolic line. Behind, between the spine and the ascending line of dullness of sound, a triangle is formed with a clearer percussion sound (Garland's triangle), and on the healthy side, paravertebrally, there is a triangle of dullness of Grocco-Rauhfus. With left-sided exudative pleurisy, the disappearance of Traube's space is often observed. If the effusion into the pleural cavity is significant with complete atelectasis of the lung, the typical crooked line and Garland's triangle disappear. In some cases, there is a dullness of percussion sound in the supra- and subclavian region. Exudative pleurisy is characterized by a weakening or absence of voice trembling. On auscultation, at the level of dullness of the sound, breathing is significantly weakened. Above the level of exudate, sometimes you can hear unsharp bronchial breathing. In the initial period of development of pleurisy and during its resorption, a pleural friction noise is heard at the border of the exudate.

X-ray examination reveals a typical pattern of darkening in the posterior and lateral parts of the lungs. The thickness of the fluid layer decreases towards the mediastinum. The upper border is represented as an arcuate line. There is a decrease in the transparency of the entire lung field, which is due to inflammation of the pleural sheets that envelop the lung. The organs of the mediastinum, as a rule, are displaced in the opposite direction. In the case of accumulation of effusion in the interlobar fissures, when examined in the lateral position, the shadow of the effusion has a lenticular shape, and in the Fleischner position it is triangular. When the exudate is encapsulated in the paramediastinal space, its shadow looks like a not quite regular triangle.

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TRAUBE SPACE lunate, an area in the lower part of the left half of the chest wall, having a shape resembling a crescent moon, and giving a tympanic sound during percussion. T. p. corresponds to the anterior part of the left costophrenic sinus of the pleura. It is limited to the right by the left edge of the liver, to the left by the spleen, from the bottom by the edge of the costal arch, from the top to the bottom by the edge of the lung, and is located in front of the gastric fundus containing air and the adjacent colon; the latter also cause a tympanic sound over T. p. The value of T. p. can decrease (up to its complete disappearance) or increase in different directions, depending on various pat. processes in the pleural space and in adjacent organs. So, with an increase in the liver or spleen, T. p. decreases in the horizontal direction, with exudative pleurisy, hydrothorax, in the vertical direction (from top to bottom). In the latter case, with a relatively small amount of fluid, percussion gives a dullness band directly below the clear lung sound, and even lower, a tympanic sound area; with an increase in the amount of fluid and the diaphragm is pushed downwards, T. p. can give a completely dull sound. With the accumulation of fluid in the pericardial cavity, T. p. can significantly decrease (from top to bottom) in its middle part; it also decreases with subdiaphragmatic abscess. On the contrary, with insufficient expansion of the left lung after absorption of the exudate and with a high standing of the diaphragm, T. p. increases in its own. vertical size. - Determining the size and shape of T. p. 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 T. p., but in this case the dullness is unstable, disappearing after the passage of food into the small intestine or after defecation.

lunar space)

a section of the left hypochondrium, giving tympanic on percussion; limited to the right by the liver, to the left by the spleen, from below and medially by the edge of the costal arch, from 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.

See what "Traube space" is in other dictionaries:

    TRAUBE SPACE- semilunar, a site in the lower part of the left half of the chest wall, having a shape resembling a crescent moon, and giving a tympanic sound during percussion. T. p. corresponds to the anterior part of the left costo-diaphragmatic sinus of the pleura. It is limited... ...

    - (L. Traube, 1818 1876, German therapist; blue lunate space) a section of the left hypochondrium, giving a tympanic sound during percussion; limited to the right by the liver, to the left by the spleen, from below and medially by the edge of the costal arch, from above by the edge ... ... Big Medical Dictionary

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    See Traube space... Medical Encyclopedia

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This method can be highly recommended, it allows you to determine the accumulation of fluid in the left pleural cavity, which even the most experienced radiologists are not able to detect. I was firmly convinced of this by repeated controls and subsequent punctures. The definition of the upper limit of the Traube space is made in the oblique position of the patient in order to ensure that the fundus of the stomach

with its air bubble took the highest place and thus caused a sharper tympanitis of this space.

Using jumping percussion, it is now easy to determine whether Traube space tympanitis borders directly on lung sound - normal conditions - or lung sound extends to the indicated upper limit of Traube space, and then follows tympanitis 1-2 transverse fingers wide - percussion picture with slight exudate , "Traube's space is narrowed from above by 1-2 transverse fingers," or Traube's space gives a clear tympanitis to the upper, physiological border, and only starting from here, gives a dullness 1-2 transverse fingers wide or even more - a percussion picture with infiltration of the lingulae.

The latter, according to White's autooptic findings, is very common in consumption of the left apex of the lung. Most often, of course, dullness is found above and below this line between the apex of the heart and the upper limit of splenic dullness, if there are more significant amounts of exudate there, or if, in the presence of exudate, there is also an infiltration of the lung in the same place.

The exact definition of the figure of splenic dullness, however, has another, no small importance. Namely: if you connect the apex of the heart with the upper edge of the splenic dullness, then under normal conditions a line is obtained that accurately indicates the upper limit of the Traube semilunar space, and the determination of the latter is very necessary in cases where it is necessary to establish the presence of the smallest amount of fluid in the left pleural cavity. Many authors have already established that the diaphragmatic-costal angle descends the lowest here, and, therefore, a small amount of fluid in the left pleural cavity gives a narrowing of the Traube space from above, depending on the amount of accumulated fluid, by one, two or more transverse fingers.
This method can be highly recommended, it allows you to determine the accumulation of fluid in the left pleural cavity, which even the most experienced radiologists are not able to detect. I was firmly convinced of this by repeated controls and subsequent punctures. The determination of the upper boundary of the Traube space is made in the oblique position of the patient in order to ensure that the fundus of the stomach with its air bladder takes the highest place and thus causes a sharper tympanitis of this space.
Using jumping percussion, it is now easy to determine whether Traube space tympanitis borders directly on lung sound - normal conditions - or lung sound extends to the indicated upper limit of Traube space, and then follows tympanitis 1-2 transverse fingers wide - percussion picture with slight exudate , "Traube's space is narrowed from above by 1-2 transverse fingers," or Traube's space gives a clear tympanitis to the upper, physiological border, and only starting from here, gives a dullness 1-2 transverse fingers wide or even more - a percussion picture with infiltration of the lingulae.
The latter, according to White's autooptic findings, is very common in consumption of the left apex of the lung. Most often, of course, dullness is found above and below this line between the apex of the heart and the upper limit of splenic dullness, if there are more significant amounts of exudate there, or if, in the presence of exudate, there is also an infiltration of the lung in the same place.

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