1　病历报告病例 1,患者男性 ,2 9岁 ,因在野外施工作业乘车途中不幸翻车造成严重头颈部、胸腹部、会阴部、双下肢严重挤压伤 ,全身多处软组织撕裂伤 ,伤后半小时入我院。入院时血压测不到 ,意识模糊 ,呼吸困难 ,全身多处挫裂伤出血不止。初步诊断 :⑴创伤失血性休克 ,⑵重度肺 1 medical records of cases 1, the male patient, 29 years old, due to unfortunate rollover in the field of construction operations on the road caused by severe head and neck, chest and abdomen, perineum, severe crush injury of both lower extremities, systemic multiple soft tissue lacerations, Half an hour after injury into our hospital. Blood pressure was not measured at admission, confusion, dyspnea, multiple contusion and laceration of the body bleeding more than. Preliminary diagnosis: ⑴ traumatic hemorrhagic shock, ⑵ severe lung