严重创伤、感染、体克是诱发急性肺损伤(ＡＬＩ-ＡＲＤＳ)高危因素和潜在危机,此病发生在高海拔,进程尤为迅猛、急骤,具有鲜明特点和规律。作者按ＡＬＩ/ＡＲＤＳ记分标准将发生在海拔1500ｍ(兰州)以胸伤为主与(或)多发伤病例,ＡＩＳ-ＩＳＳ院内记分在20分以上的26例列为Ａ组, Severe trauma, infection, body g is the risk of acute lung injury (ALI-ARDS) risk factors and potential crisis, the disease occurs at high altitude, the process is particularly rapid, rapid, with distinct characteristics and laws. According to the ALI / ARDS score standard, 26 cases with AIS and ISS scores above 20 points were classified as Group A at the altitude of 1,500 m (Lanzhou) with chest injuries and / or multiple trauma cases.