Abstract:

Objective  To analyze the causes of incision hemorrhage after tracheotomy and to propose the treatment. Methods  14 cases had incision hemorrhage after tracheotomy. Some cases were treated by local packing with Vaseline gauzes when no blood entered trachea and all the bleedings  were contained. 2 days later, Vaseline gauzes were removed without rehemorrhage. For the patients in whom packing was not effective, we probed the incisions to ligate or cauterize the hemorrhagic spots. Then, we sutured the skin incisions to monitor the progress. Results  After tracheotomy, the causes and time points of hemorrhage varied， most cases had a fat and short neck.  Lots of hemorrhage was due to the injures to thyroid gland.  Conclusions  The causes and time points of hemorrhage are various.Serious consequences may occur. Therefore, we should treat it timingly and actively.

Key words: Tracheotomy; Complication; Hemorrhage