为提高颈气管食道穿透伤急救水平，总结经验教训，作者针对１例颈气管食道枪击穿透伤急救处理，复习文献，结合该例资料进行讨论。认为对颈气管食道枪击穿透伤急症处理，首先保证气道通畅、止血，保证生命体征平稳，而后尽可能在清创处理同时探查取出金属异物，及时探查处理有利于预后，防止并发症的发生。 In order to improve the traumatic esophageal trauma of the first aid, summarize the experience and lessons learned, the author of a case of tracheotomy trauma through the trauma emergency treatment, review the literature, combined with the data for discussion. That the tracheal tracheal tube trauma through the traumatic emergency treatment, first of all to ensure airway patency, bleeding, to ensure stable vital signs, and then as much as possible debridement in the exploration and removal of metal foreign body, timely exploration and treatment is conducive to the prognosis and prevent the occurrence of complications .