The tracheotomy timing and its outcome in severe hypertensive intracerebral hemorrhage patients

Objective: To investigate the tracheotomy timing and its effects on prognosis in severe hypertensive intracerebral hemorrhage patients after operation.Methods: The patients with severe hypertensive intracerebral hemorrhage after operation(47 cases) were divided into the early cutting group(less than or equal to 24 h,25 cases) and non-early cutting group(more than 24 h,22 cases) according to the tracheotomy timing.The Glasgow coma score(GCS),pulmonary infection,incidence of hypoxemia and fatality rate between two groups were compared after 1 week of tracheotomy.Results: After 1 week of tracheotomy,the GCS in the early cutting group was higher than that in non-early cutting group(P<0.05),and the pulmonary infection,incidence of hypoxemia and fatality rate in the early cutting group were lower than those in non-early cutting group(P< 0.05 to P< 0.01).Conclusions: The early tracheotomy can significantly improve the prognosis,and reduce the fatality rate and incidence of pulmonary infection in postoperative patients with hypertensive cerebral hemorrhage.