What is pleural traction sign, and how should it be managed?

In general, pleural traction signs may be caused by conditions such as fractures, pleurisy, pneumothorax, atelectasis, or pulmonary tuberculosis. It is recommended to seek timely medical attention, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific analyses are as follows:

1. Fracture: Fractures are usually caused by direct or indirect trauma. If a rib fracture occurs, the pleura may be pulled, thereby triggering pleural traction signs. Prompt hospitalization and surgical treatment with open reduction and internal fixation are required.

2. Pleurisy: This condition is primarily caused by infection with pathogens such as bacteria or viruses. After inflammatory stimulation, patients may experience symptoms including fever and chest pain. If left untreated for a prolonged period, pleural traction signs may develop. Treatment may include medications such as moxifloxacin sodium chloride injection, cefoperazone sodium and sulbactam sodium, or linezolid glucose injection, as prescribed by a doctor.

3. Pneumothorax: Pneumothorax typically results from air entering the pleural cavity, causing an accumulation of gas. It is mainly caused by chest trauma or lung diseases, leading to symptoms such as chest pain and difficulty breathing. In severe cases, pleural traction signs may appear. Treatments include thoracentesis for air removal or closed thoracic drainage.

4. Atelectasis: This condition refers to lung tissue collapse that impairs gas exchange. Its main clinical manifestation is difficulty breathing, and patients often experience chest tightness, shortness of breath, and coughing. It may also lead to pleural traction signs. Medications such as acetylcysteine granules, methylprednisolone sodium succinate for injection, or budesonide/formoterol powder inhaler may be used under medical supervision.

5. Pulmonary Tuberculosis: This is a lung disease caused by Mycobacterium tuberculosis infection, which causes systemic symptoms such as fatigue, fever, and cough. The disease can invade lung tissue and lead to pathological changes including inflammation and fibrosis, potentially resulting in pleural traction signs. Anti-tuberculosis drugs such as isoniazid tablets, rifampicin capsules, and pyrazinamide tablets should be used under a doctor's guidance.

In daily life, individuals should cultivate healthy habits and engage in appropriate physical activity when physically able, which helps enhance immune function.