本文报告了河南医学院第一附院1963年、1973年和1982年气管切开术应用于临床的变化情况。三年共作气管切开术232例,其中以应用于鼻咽喉部和口腔手术的预防性切开最多,共计138例(59.4％)。这显然与上述部位的肿瘤疾患增加有关,其中以喉部恶性肿瘤增加最明显,从1963年与1973年的不足10例,增加到1982年的67例。气管异物与急性喉炎的气管 This article reports the first Affiliated Hospital of Henan Medical College in 1963, 1973 and 1982 tracheostomy applied to clinical changes. A total of 232 cases of tracheotomy were performed in three years, of which 138 cases (59.4%) were used for preventive surgery in nasopharyngeal throat and oral surgery. This is clearly related to the above-mentioned increase in the incidence of oncological diseases, with the most significant increase in the incidence of laryngeal malignancies, from less than 10 in 1963 and 1973 to 67 in 1982. Tracheal foreign body and acute laryngitis trachea