目的探讨气管切开术作为一项急救技术在急诊抢救中应用的适应证。方法对34例因各种原因在急诊科行紧急气管切开术病例进行回顾性分析。结果所有病例均因呼吸道阻塞、呼吸困难,常规气管插管不能而行紧急气管切开术,术后经积极抢救治疗生命征平稳,行相关检查后送专科进一步救治。结论气管切开术作为一项急救技术在一些急诊重症患者的抢救中发挥着重要作用,及时的气管切开可解除呼吸道阻塞开放气道,改善机体缺氧状态,亦为挽救患者生命及后期各临床科的治疗赢得了宝贵时间,创造有利了条件。 Objective To investigate the indications of tracheotomy as a first aid technique in the emergency rescue. Methods Retrospective analysis of 34 cases of emergency tracheotomy in emergency department for various reasons. Results All cases were obstructed by airway obstruction and had difficulty breathing. The conventional tracheal intubation could not perform emergency tracheotomy. After active rescue treatment, the vital signs were stable and the relevant special examinations were sent for further treatment. Conclusions Tracheotomy as a first aid technique plays an important role in the rescue of some emergency critically ill patients. Timely tracheotomy can relieve airway obstruction and open the airway, improve the hypoxia status of the body, and save the lives of patients and the later The treatment of clinical subjects has won valuable time and created favorable conditions.