【摘要】目的 探讨严重多发伤的救治方法。方法 总结1990年01月至2009年12月救治的严重多发伤1968例，分析严重多发伤早期救治中的几个重要问题，并提出救治工作的要点。结果 本组早期诊断正确率95%(1869/1968)。发生ARDS 157例(8%)，MODS 177例(9%)，应激性溃疡伴出血118例(6%)。ARDS治愈率76%(119/157),MODS治愈率68%(120/177),应激性溃疡治愈率94%(111/118)。全组总治愈率94%(1850/1968)，死亡率6%(118/1968)。结论 及时控制出血、减轻缺血缺氧损害,手术优先解决危及生命的损伤，合理应用损伤控制外科技术，及时解决ICU治疗中发生的外科问题等措施对提高严重多发伤的救治成功率起重要作用。

    【关键词】多发伤 诊断 外科手术

    中图分类号：R459.7文献标识码：A文章编号：1005-0515(2010)11-048-02

    【Abstract】Objective To investigate care of the patients with severe multiple trauma.Methods 1968 patients with severe multiple trauma from January 1990 to December 2009 were summarized. The several important problems in early care of severe multiple trauma were analyzed. Main points in care of severe multiple trauma were put forward. Results Accurate rate of earlier diagnosis was 95%(1869/1968).Occurrenc rate of ARDS,MODS,and stress ulcer were 8%,9%,and 6% respetively. Cure rate of ARDS ......