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March 16, 1963

The Early Diagnosis of Traumatic Bronchial Rupture

JAMA. 1963;183(11):977-978. doi:10.1001/jama.1963.03700110109028

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To the Editor:  —The Original Contribution titled, "Early Diagnosis of Traumatic Rupture of the Bronchus," which appeared in the Aug 25, 1962, issue of The Journal (181:682) shows in my opinion several errors in collection as well as in interpretation of data. Part of the difficulty comes from transposing one case into a major clinical experience. Dr. Burke's review of the literature is inaccurate in several regards. The author suggests that patients with major bronchial injury are frequently found to have lacerations of the great vessels and severe injuries to the head or other portions of the body. I refer to the article written by myself and Dr. Herbert Sloan, that appeared in the October, 1959, issue of The Journal of Thoracic and Cardiovascular Surgery. In reviewing a total of 98 cases, in 80 cases for which sufficient information was available it was apparent that in more than half

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