目的　探讨船员严重烧伤内脏并发症的防治方法。方法　从内脏并发症的发生和治疗情况等方面 ,总结 1997年 2月～ 2 0 0 0年 5月收治的 31例海上油船烧伤患者内脏并发症的治疗体会 ,并选择同期伤情相似的 32例火焰烧伤患者 (非船员烧伤组 )作为对照。结果　船员烧伤组患者急性呼吸窘迫综合征 (ARDS)、应激性溃疡出血、肝功能不全等内脏并发症的发生率分别为 32 .3% ,19.4 %和 38.7% ,明显高于非船员烧伤组 (P均 <0 .0 5 )。对于内脏并发症 ,采取预防在先的综合防治措施 ,结果船员烧伤组 31例中 ,治愈 30例 ,死亡 1例 ;对照组 32例全部治愈 ,死亡率两组之间比较差异无显著性意义 (P>0 .0 5 )。结论　虽然船员烧伤内脏并发症发生率高 ,但采取预防为主的综合防治措施 ,仍然可以取得满意的治疗效果。 Objective To investigate the prevention and treatment of severe burn internal organs complications. Methods From the aspects of the occurrence and treatment of visceral complications and so on, the treatment experience of visceral complications in 31 sea-based oil tankers from February 1997 to May 2000 was summarized and 32 cases with similar injuries in the same period were selected Flame burn patients (non-crew burn group) served as controls. Results The incidences of visceral complications such as acute respiratory distress syndrome (ARDS), stress ulcer bleeding and hepatic insufficiency in crew burn group were 32.3%, 19.4% and 38.7%, respectively, which were significantly higher than those in non-crew burn group (P <0.05). As for the complications of viscera, we took the first comprehensive prevention and treatment measures. As a result, 30 cases were cured and 1 died. In the control group, 32 cases were completely cured and the mortality rate was no significant difference between the two groups P> 0 .0 5). Conclusion Although the incidence of visceral complications of crew burn is high, the comprehensive prevention and treatment measures based on prevention can still achieve satisfactory therapeutic effect.