颅脑外伤及脑出血在临床中较为常见 ,而患者就诊时往往病情较重 ,大部分已处于昏迷状态 ,同时还伴有程度不一的呼吸障碍 ,所以行气管切开往往是抢救成功的关键 ,而气管切开时机的选择恰当与否 ,对疾病的预后有一定关系〔1〕。为此我们将1 980年 1月～ 2 0 0 0年 1 0月在我院行 Traumatic brain injury and intracerebral hemorrhage are more common in clinical practice, and the patients are often in a serious condition when they are treated. Most of them have been in a coma, and accompanied by varying degrees of respiratory disorders. Tracheotomy is often the key to successful rescue , And the timing of tracheotomy the right choice or not, the prognosis of the disease have a certain relationship 〔1〕. For this purpose, we will be January 1 980 ~ January 2010 in our college