报道46例喉部切割伤分类治疗经验。根据损伤部位及深度分为Ⅲ类,计Ⅰ类伤9例,Ⅱ类伤31例,Ⅲ类伤6例,根据分类进行不同的处理。结果:Ⅰ类伤全部治愈无后遗症;Ⅱ类伤气管切开5例,指套压迫6例,T形管支撑20例;Ⅲ类伤全部以T形管支撑。Ⅱ、Ⅲ类病例拔管后呼吸通畅,15例遗留声音嘶哑。主张喉切割伤病人应根据伤情分类确定治疗方法,以减少并发症及后遗症,T形硅橡胶管是较好的支撑材料。 Reported 46 cases of laryngectomy classification treatment experience. According to the site and depth of injury, the patients were divided into three groups according to the classification, including 9 cases of type Ⅰ injuries, 31 cases of type Ⅱ injuries and 6 cases of type Ⅲ injuries. Results: All the injuries of type Ⅰ were cured without sequelae. In type Ⅱ, 5 cases were treated with tracheotomy, 6 cases were finger compression and 20 cases were T-tube. All Ⅲ injuries were supported by T-shaped tube. Ⅱ, Ⅲ cases of extubation after extubation, 15 cases left hoarse voice. Advocates of laryngeal incision patients should be based on the injury classification to determine the treatment to reduce complications and sequelae, T-shaped silicone rubber tube is a better support material.