Heart failure patients can not speak after pulling out the ventilator, may be a normal situation, because the tracheal tube is removed after the vocal folds are in an open state, so you can not speak, need to recover some time, but also may be tracheal intubation damage to the vocal cords, laryngeal reentry nerve and can not speak. 1. Vocal cord injury: tracheal intubation damage to the vocal cords mostly leads to edema of the vocal cords, this time can be left untreated, waiting for the vocal cords to repair themselves, or choose to take herbal coral tablets to treat the edema of the vocal cords. 2. Laryngeal recurrent nerve injury: for intubation damage to the laryngeal recurrent nerve is generally observed for 3 to 6 months, and then consider whether the surgical exploration, if necessary, can expand the vocal folds, to do spoon-shaped cartilage resection or vocal folds fixed surgery. During the treatment period to protect the respiratory tract open, avoid smoke, dust, pollen, etc., prohibit smoking and alcohol, spicy and stimulating food, so that the patient to maintain a comfortable mood. If the body does not adapt to go to the regular hospital in time, under the guidance of the physician according to the cause of active treatment.