Timing of tracheotomy for patients with massive cerebral hemorrhage

CUI Xiao; JING Zhitao; WANG Yunjie

Abstract：Objective To study the best time for tracheotomy for patients with massive cerebral hemorrhage, and the relationships with prognosis.Methods Seventy patients with massive cerebral hemorrhage treated in our hospital between 2014 January and 2016 January were selected in this research. According to the different time for tracheotomy, these patients were divided into 3 groups: the ultra early group, early tracheotomy group and late tracheotomy group. In these groups of patients, the post-operative recurrent bleeding, incidence of tracheal cannula retention time, rate of pulmonary infection, mean hospital stay, mortality in 3 weeks were evaluated.Results There was no significant difference in the rate of recurrent bleeding between the three groups(P>0.05). The retention time and the average hospital stay in ultra early group were significantly shorter than those of the early and late groups, and the case was the same between the early group and the late group (P<0.05). The positive rate of sputum culture in the ultra early group and early group was significantly lower than that of the late group, and the difference was statistically significant (P<0.05). The mortality of the ultra early group in 3 weeks was significantly lower than that of the late group, and the difference was statistically significant (P<0.05).Conclusion Ultra early tracheotomy can improve the prognosis of patients with massive cerebral hemorrhage and has better clinical effect.