患者 ,女 ,73岁。因高血压颅内出血行开颅探查术 ,应邀行气管切开术。术前检查见颈动脉搏动明显 ,以颈前为著 ,怀疑是血压增高 ,气管插管引起。术中切开皮肤、皮下组织、分离肌层后于“甲状腺峡部”位见搏动强烈 ,仔细分离 ,认真判断 ,见为血管组织 ,且粗大 ,覆整个颈部气管及 Patient, female, 73 years old. Intracranial hemorrhage due to hypertensive intracranial exploration exploration, was invited to tracheotomy. Preoperative examination showed significant carotid pulse to the anterior cervical, suspected elevated blood pressure, tracheal intubation. Intraoperative incision of the skin, subcutaneous tissue, muscle separation in the “thyroid isthmus” position to see a strong beating, careful separation, judicious to see, as vascular tissue, and thick, covering the entire neck trachea and