Early Tracheotomy On Craniocerebral Trauma Combined Effect Of The Treatment Of Patients With Aspiration Pneumonia

Objective:To compared to the treatment of craniocerebral trauma combined aspiration pneumonia, the early effect of different gas cutting, the late gas cutting.Methods:On from January 2012 to December 2012 in shanxi medical university first hospital emergency medical intensive care treatment of craniocerebral trauma with aspiration pneumonia in patients with 64 patient records were retrospectively analyzed.Into the group,all patients in the hospital within 24 h to endotracheal intubation or tracheotomy, breathing machine and ventilation.1. According to the patient medical records, choose mechanical ventilation is more than 7 days of craniocerebral trauma with aspiration pneumonia cases, 64, 24 hours into the group of patients hospitalized are implemented endotracheal intubation or tracheostomy,then according to the gas cutting time is divided into: students’ 34 cases, within 24 hours of admission gas cutting;In 30 cases of b, 48 hours after intubation gas cutting.2. Compare the general epidemiological parameters between two groups of patients:gender, age, history and basic classification of craniocerebral trauma, etc.3. After the comparison of conventional index between two groups there was no statistically significant difference under the premise of the analysis between the two groups of breathing machine ventilation time and ICU hospitalization duration, 1 week after pulmonary infection score(CPIS), the comparison between the two groups of indicators have statistically significant.Results:1.Between the two groups patients gender, age, history conventional indexes su ch as foundation and the classification of craniocerebral trauma after comparison the Result was no statistically significant difference(P>0.05).2.The first division compared with group b, the breathing machine ventilation t ime is short, CPIS score is low, the ICU hospitalization time is short, the differenc e was statistically significant(P<0.05).Conclusions:Early tracheotomy in patients with breathing machine ventilation can reduce the breathing machine ventilation time and lower respiratory tract infection, shorten ICU length of hospital stay.