气管切开术在病因去除后,常规要求24～48小时以上全堵管后,患者呼吸功能和排痰功能良好,不发热即可拔管[1]。拔管后一般用蝶型胶布横行拉紧造瘘口两侧皮肤,24小时窦道内壁软组织粘连,自行封闭,一周左右完全愈合。但有些患者因疾病需长期带管,脱管后瘘口不能自行愈合,甚至窦道壁 Tracheotomy in the cause of removal, the general requirements of 24 to 48 hours after the whole tube, the patient’s respiratory function and expectoration function well, without extubation [1]. Extubation generally with butterfly tape transverse transverse tightening the skin on both sides of the fistula, 24-hour sinus wall adhesion of soft tissue, self-enclosed, about a week completely healed. However, some patients need to take a long-term due to disease, after fistula can not be self-healing, or even sinus wall