目的：探讨急诊手术治疗重症胸部创伤并休克的效果。方法选取2012年5月至2014年12月重症胸部创伤并创伤性休克患者32例，对其行急诊手术治疗，分析其治疗效果。结果32例中治愈29例占90.63%；死亡3例占9.38%，其中1例合并心脏穿透性损伤因大量失血致休克性死亡，2例死于并呼吸窘迫综合征。结论重症胸部创伤并休克患者给予影像学诊断与积极抗休克及手术治疗，可提高治愈率，降低病死率。“,”Objective To investigate the efficacy of emergency operation on severe thoracic trauma combined with shock. Methods From May 2012 to December,32 patients with severe thoracic trauma combined with shock were select-ed,and they had emergency surgery,the effects were analyzed. Results Anong the 32 cases,29 cases were cured,ac-counting for 90. 63% ,3 cases were death,accounteding for 9. 38% ,among them 1 case combined cardiac penetrating in-jury caused by bleeding shock death,and 2 cases died of respiratory distress syndrome. Conclusions the patients of severe thoracic trauma combined with shock receive the imaging diagnosis and positive resistance to shock and surgery,can improve the cure rate of patients,reduce the case fatality rate.