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气管切开患者,在拔管前常规需行堵管法确认呼吸道通畅后方可拔管.近几年来,对堵管法,有报道一次性堵管较分次堵管简单易行,而堵管方法并不重要,主要在于原发疾病和并发症是否被消除;对直接拔管,有小儿气管切开后直接拔管无气急、发绀、呼吸困难或重新置管等情况的报道.我院神经外科自1994年起对所有气管切开的患者施行直接拔管,而非神经外科的各科室仍按常规施行堵管后拔管,现将本院自1994年1月～1998年12月共49例气管切开患者的观察报道如下(因病情重笃死亡或带管出院者除外).
Tracheostomy patients, before extubation routine need to plug the tube to confirm the airway patency before extubation .In recent years, the plugging method, it has been reported that one-time plug-in plugging than plugging simple and easy, and plugging Method is not important, mainly in the primary disease and complications are eliminated; for direct extubation, pediatric tracheotomy direct extubation no shortness of breath, cyanosis, dyspnea or re-catheter etc. reports of our hospital nerve Surgery since 1994, all tracheotomy patients undergoing direct extubation, and non-neurosurgical departments still routinely perform extubation, after the hospital from January 1994 to December 1998 a total of 49 Cases of tracheotomy patients were reported as follows (due to serious death or discharge with a pipe excluded).