降低创伤病人的死亡率,仍然是外科医生的主要任务。急症监护处理的改进,包括液体和电解质平衡、麻醉复苏术的提高,已使创伤病人的血容量减少性休克和心原性休克的近期死亡率大为降低。焦点移向创伤病人的远期病残率及死亡率,其原因为居支配地位的脓毒症。作者所在的美国旧金山总医院,所有创伤后远期非神经原性死亡的78％均继发于脓毒症。究其原因,主要由损伤的性质、病人的营养状况、先已存在的内科疾患以及个体防御机理完整性 Reducing the mortality of trauma patients remains the surgeon’s primary task. Improvements in acute care management, including fluid and electrolyte balance, and improved anesthesia and resuscitation have greatly reduced the recent mortality of traumatic patients with hypovolemic shock and cardiogenic shock. The long-term morbidity and mortality of patients with traumatic injuries that focus on the causes of dominance of sepsis. At the author’s San Francisco General Hospital, 78% of all post-traumatic non-neurogenic deaths were secondary to sepsis. The reason, mainly by the nature of the injury, the patient’s nutritional status, preexisting medical conditions and the integrity of the individual defense mechanism