Tracheotomy more than 20 days after brain hemorrhage generally refers to tracheal intubation or tracheotomy, how long can be extubated is related to the specific condition; if the cause of the disease can be corrected faster, it can even be removed in 1 week or so, but the cause of the disease can’t be corrected faster, it may be necessary to take the tube for a long time. 1. Faster extubation: tracheal intubation or tracheotomy is carried out more than 20 days after cerebral hemorrhage, usually because of the combined lung infection; if the patient recovers from the lung infection faster after effective anti-infective treatment, the tracheal intubation may be removed quickly at this time. Even in a week or so, the condition may be significantly improved and the intubation can be removed. 2. May need to be intubated for a long time or be intubated for life: sometimes there may be significant sequelae after cerebral hemorrhage, such as severe swallowing dysfunction, and pneumonia is not easy to be controlled due to repeated aspiration. Even if the pneumonia is under control, the ability to cough up sputum on one’s own is poor and the tube may need to be left in place for a long time. Therefore, it may be necessary to keep the tube for a long period of time or even keep the tracheal tube for life. The timing of removing the tube after cerebral hemorrhage should follow the doctor’s advice to avoid delaying the patient’s condition.