TRACHEOBRONCHIAL PERFORATION: ITS DIAGNOSIS AND TREATMENT.

Traumatic nonpenetrating chest injuries are rather frequent. Most often they are caused by rapid deceleration in the course of an automobile accident or by crushing trauma to the thorax. Such force can lead to major disruption of any of the intrathoracic structures, including rupture of the tracheobronchial tree, great vessels, or esophagus (11, 14, 17, 18). Two recent cases in The Johns Hopkins Hospital demonstrate clinical and roentgen features of tracheobronchial injury worthy of emphasis: The first is an instance of bronchial fracture diagnosed eighteen days after the patient suffered extensive trauma in an automobile accident; the second is a tracheal tear received during closed chest cardiac massage and endotracheal intubation. Case Reports Case I: On May 3, 1964, a 15-year-Old white girl was admitted to another hospital following an automobile accident. Physical and roentgenographic examination revealed lacerations of the face and legs, a displaced fracture of the surgical neck of the left humerus,...

[1]  B. G. Streete,et al.  HEINEKE-MIKULICZ TYPE REPAIR OF THE RIGHT MAIN STEM BRONCHUS: REPORT OF A CASE. , 1964, Diseases of the chest.

[2]  D. Campbell,et al.  Delayed repair of rupture of the bronchus. , 1962, The Journal of thoracic and cardiovascular surgery.

[3]  W. D. Seybold,et al.  Closed intrathoracic ruptures of the trachea and bronchi. , 1960, Archives of surgery.

[4]  H. Sloan,et al.  Injuries of the trachea and major bronchi. , 1959, The Journal of thoracic and cardiovascular surgery.

[5]  E. M. Aronstam,et al.  Ruptures in the bronchial tree due to blunt trauma. , 1959, The Journal of thoracic and cardiovascular surgery.

[6]  Streete Bg,et al.  Primary repair of fracture of the left mainstem bronchus. , 1958 .

[7]  V. Richards,et al.  Rupture of the thoracic trachea and major bronchi following closed injury to the chest. , 1955, American journal of surgery.

[8]  U. Norlin.  Traumatic rupture of the main bronchi. , 1955, Acta radiologica.

[9]  H. D. Dalgleish,et al.  Traumatic rupture of bronchus in a six year old boy treated by pneumonectomy. , 1954, Canadian Medical Association journal.

[10]  J. Atkins,et al.  Traumatic bronchial rupture with occlusion. , 1948, The American journal of roentgenology and radium therapy.

[11]  N. Westermark.  A Roentgenological Investigation into Traumatic Lung Changes Arisen through Blunt Violence to the Thorax , 1941 .