目的 探讨、分析气管切开术治疗重症脑外伤临床疗效。方法 选取我院2013年5月至2014年7月收治60例重症脑外伤 患者，以随机方式将其分成两小组，每组30例患者，并命名为康复组和对照组。康复组给予气管切开术治疗，对照 组则给予气管插管术治疗，并两组患者的住院时间、肺炎发生率以及死亡率进行比较。结果 两组患者在经过手术 治疗后，其中两组患者肺炎发生率以及死亡率不具统计学意义，对照组肺炎发生率为46.7%，死亡率为20%，而康复 组的死亡率和肺炎发生率分别为43.3%和16.7%，但两组患者应用呼吸机时间存在统计学差异，对照组患者应用时间 平均为(13.2±±3.5)天，而康复组患者平均为(9.0±4.5)天。结论 对于重症脑外伤患者应用气管切开术，可以促 进患者尽快的自主呼吸，且其操作简单，应值得在临床抢救中推广应用，以此赢得抢救的时间。

Objective To investigate, analysis of clinical curative effect in the treatment of severe traumatic brain injury after tracheotomy. Methods 60 cases of severe traumatic brain injury were treated in our hospital from May 2013 to July 2014, in which 30 cases were randomly divided into two groups, and named as rehabilitation group and control group. The rehabilitation group received tracheotomy in the treatment, the control group were given endotracheal intubation in the treatment, and the two groups of patients hospitalized time, pneumonia incidence and mortality were compared. Results Two groups of patients after surgery, in which the incidence of pneumonia and mortality were not statistically significant, the control group was 46.7%, mortality rate was 20%, while the recovery group was 43.3% and 16.7% respectively, but the two groups of patients were treated with the average time of the control group (13.2 + 3.5) days, and the patients in the rehabilitation group were (9 + 4.5) days. Conclusion For severe traumatic brain injury patients with tracheotomy can promote as soon as possible in patients with spontaneous breathing and the operation simple, should be popularized and applied in clinical emergency, in order to win rescue time.