目的探讨严重创伤救治模式,提高基层医院创伤的救治成功率。方法对2000~2004年的156例严重创伤救治方法进行分析。结果156例创伤患者严重程度评分(ISS评分):16~25分102例,死亡5例,死亡率4.9%;>25分54例,死亡33例,死亡率61.1%;ISS平均评分(18.7±12)分,总死亡率24.4%,救治成功率75.6%。结论基层医院对严重创伤伤员开辟急救绿色通道,可有效提高严重创伤的救治效果。 Objective To explore the treatment modalities of severe trauma and to improve the success rate of trauma treatment in primary hospitals. Methods 156 cases of severe trauma from 2000 to 2004 were analyzed. Results The severity of the trauma patients score (ISS score) were 156 cases (102 cases), 5 cases died (4.9%), 25 cases (54 cases), 33 cases died, the mortality rate was 61.1% 12) points, the total mortality rate was 24.4%, treatment success rate was 75.6%. Conclusions The grass-roots hospital opens the first aid green channel for severe trauma and wounded people, which can effectively improve the treatment effect of severe trauma.