Early Percutaneous Dilatational Tracheal Incision in Patients with Severe Traumatic Brain Injury

Objective To investigate the clinical significance of severe traumatic brain injury in patients with early percutaneous expansion of tracheal incision.Methods 120 cases of severe traumatic brain injury based on injury to the time of tracheotomy was divided into the early tracheotomy group(early incision group) and non-early tracheotomy group(early incision group),60 cases in the two groups within 24 hours after injury was performed a tracheotomy for early tracheotomy non-early 24 hours after injury,all of them were observed the effect of severe traumatic brain injury.Results The group of Early cut patients were better than non-early incision group in the treatment time of the ventilator,ICU monitoring time,refractory pneumonia,complicated by ALI or ARDS.There was statisticall significance(P0.05),while in MODS,complicated by gastrointestinal bleeding,severe disability and death,there was no significant difference(P0.05).Conclusion The severe traumatic brain injury in patients with early percutaneous dilatational trachea incision can significantly improve the prognosis,reducing the cost of treatment.It is worthy of clinical using.