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Injuries of the Trachea

A. RICHARD GRAY, M.D.; JOHN M. HOWARD, M.D.; WILLIAM H. HARRISON Jr., M.D.; CECIL M. COUVES, M.D.
AMA Arch Surg. 1958;76(1):138-142. doi:10.1001/archsurg.1958.01280190140026.
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A review of the patients with traumatic injuries admitted to Grady Memorial Hospital since 1948 includes nine patients with injuries of the trachea, each of whom received his total treatment at this hospital. Since the literature contains only two comparable civilian records,5,15 this experience has been summarized.

The patients were all young or middleaged adults. Eight were injured in fights, the ninth patient being injured in an automobile accident. None of the injuries was self-inflicted. Two were injured by blunt trauma, two by bullets, and five by knives (Table 1). The injuries in the last group were of two types: stab wounds and horizontal lacerations.

Clinical Findings  The clinical features, specific for tracheal injuries, were determined by the type of wound. The lacerations, as a group, lacked the rather distinguishing characteristics. In the laceration, respiration was associated with the free ingress and egress of air through the wound, not

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