【摘要】 目的 提高高原地区严重多发性创伤的诊断救治水平。方法 笔者回顾总结了1976年1月～2004年1月在高原工作期间参与救治、资料完整的1627例严重多发性创伤患者的特点及救治效果。结果 1627例患者中，1476例经手术治疗，49例失去手术时机，102例非手术治疗，死亡265例，死亡率16.3%(265/1627)。结论 该救治方案显著提高了这一特殊地域此类伤者的救治成功率，具有重要的军事价值且意义十分重大。

    【关键词】 高原地区；严重多发性创伤；救治探讨

    Analysis of characters and treatments of 1627 severe complex trauma cases in high altitude areas

    YU Xiang-hai,ZHAO Xin,YU Ling-xiang,et al.The 302nd Hospital of PLA,Beijing 100039,China

    【Abstract】 Objective To improve the diagnosis and treatment levels of severe complex trauma in high altitude area.Methods The histories and documents of 1627 cases which were treated by the author were reviewed from January 1976 to January 2004 retrospectively.Results There were totally 1476 cases treated by operation,49 cases lost operation opportunity,102 cases treated by non-operative methods.Among all the cases,265 patients died,and the death rate was 16.3 percent (265/1627).Conclusion The surgical strategy adopted plays an important role in the treatment of severe complex trauma in high altitude areas. ......