目的探讨早期气管切开对救治重症颅脑损伤的临床意义。方法回顾性分析入院后和手术后共67例有适应症的病人早期施行气管切开术的临床效果。结果 67例重症颅脑损伤患者出院时按GCS分级评定:良好23例(40.3%),中残6例(10.5%),重残5例(8.8%),植物生存3例(5.3%),死亡20例(35.1%)。结论对重型颅脑损伤患者早期常规采用气管切开,保持呼吸道通畅,改善其呼吸功能,改善脑缺氧,减轻脑水肿,能降低患者致残率及死亡率。 Objective To investigate the clinical significance of early tracheotomy in the treatment of severe craniocerebral injury. Methods The clinical effects of early tracheotomy in 67 patients with postoperative admission and postoperative operation were analyzed retrospectively. Results 67 patients with severe craniocerebral injury were discharged according to the classification by GCS: 23 cases were good (40.3%), 6 were moderate disability (10.5%), 5 were severe disability (8.8%), 3 were plant survival Twenty patients died (35.1%). Conclusion Tracheotomy is routinely performed in traumatic brain injury patients in the early stage to maintain airway patency, improve respiratory function, improve cerebral hypoxia, reduce cerebral edema, and reduce morbidity and mortality of patients.