Significance and related problems of tracheotomy in neurosurgery severe patients:a report of 175 cases

Objective:To discuss the significance and related problems of tracheotomy in neurosurgery severe patients.Methods:Tracheotomy was performed in 175 neurosurgery severe patients. Of them,117 patients (66.9%) were with severe craniocerebral injury, 22 patients(12.6%) with intracranial tumor or spinal cord of upper cervical segments. The cannula was pulled out after the symptom was relieved .The average time of pulling out the cannula was 14 days.Results:113 of 175 patients (64.5%) were cured, 16 of them(9.1%) discharged unrelieved, and 46(26.3%) died. No severe complications occurred during the tracheotomy.Conclusion:The tracheotomy operation should be performed in time in neurosurgery severe patients to relieve respiratory track obstruction and improve ventulation, prevent aggravating brain anoxia and severe pulmonary infections ,promote the recovery of nerve functions.