Objective To study the respiratory treatment methods for serious head injury. Methods To analyses therespiratory treatment on 34 cases with serious head injuries. Results Of the 34 patients, 29 cases mechanically rentilated, 12cases survived and 22 cases died. Conclusion For the cases or serious head injuries. It should take the important respiratorytreatment measures. Including to relief airway obstruction. Mechanical hyperventilation. Weaning from ventilator in time andgeneral support.