目的 :总结严重多发伤伴创伤性失血性休克的急诊抢救经验。方法 :按照院前、院内急诊急救程序处理18例严重多发伤伴创伤性失血性休克患者。结果 :复苏3h后,PT、APPT、BE低于初测时,T高于初测时,差异具有统计学意义(P<0.05);血压回升时间为(9.4±1.1)min;死亡1例。结论 :应坚持效率第一、先易后难、先急后缓的处理原则,迅速判断预后不利因素,通过静脉补液、气管插管等技术维持呼吸、循环稳定,第一时间控制失血,判断内出血,做好抗感染处理,控制活动性损伤。 Objective: To summarize the emergency rescue experience of severe multiple trauma with traumatic hemorrhagic shock. Methods: 18 patients with severe multiple trauma accompanied with traumatic hemorrhagic shock were treated according to emergency pre-hospital and emergency procedures in hospital. Results: At 3h after resuscitation, the difference of PT, APPT and BE was lower than the initial test when T was higher than the first test (P <0.05); the time of blood pressure recovery was (9.4 ± 1.1) min; CONCLUSION: Adherence to the principle of efficiency first, easy first and then hard and urgent first and then slow, to quickly determine the unfavorable factors of prognosis, maintain respiration and circulatory stability by intravenous fluid replacement and endotracheal intubation, control the blood loss in the first time, and determine the internal bleeding , Good anti-infective treatment, control of active injury.