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目的：探讨严重多发伤早期抢救原则.方法：对1995年10月～1998年3月收治的62例严重多发伤的临床资料进行回顾性分析.结果：治愈47用，死亡15例，死亡率24％，创伤失血性休克及脑疝是伤后早期死亡的主要原因，伤后晚期的主要死亡原因为多器官功能衰竭（MOF）及成人呼吸窘迫综合征（ARDS）.结论：①抢救原则为加强院前急救;②早期、有效地抢救脑疝及抗休克治疗;③遵循首先控制对生命威胁最大的创伤的原则决定手术的先后;④术后积极预防治疗MOF及ARDS.
Objective: To explore the principle of early salvage for severe multiple trauma.Methods: The clinical data of 62 cases with severe multiple trauma admitted from October 1995 to March 1998 were retrospectively analyzed.Results: 47 cases were cured, 15 cases died and the mortality rate was 24 %, Traumatic hemorrhagic shock and hernia are the main causes of early post-injury death, and the main causes of death in the late post-traumatic period are multiple organ failure (MOF) and adult respiratory distress syndrome (ARDS) .Conclusion: Pre-hospital first aid; early and effective rescue of herniation and anti-shock treatment; follow the first control of the most life-threatening trauma to determine the principle of the operation; positive postoperative prevention and treatment of MOF and ARDS.