[摘要] 目的 探讨降低严重多发伤病人死亡率的急诊救治和护理策略。方法 总结我院急诊科2009年6 月～ 2010 年6 月期间收治的358 例严重多发伤病人的临床资料，从急救原则、急救初步评估及紧急救治护理等方面进行分析。结果 全组抢救成功295例(82.4%)，死亡63 例(17.6%)。主要死亡原因(1)伤势严重来不及抢救; (2)严重脑外伤; (3)重度失血性休克; (4)心包填塞；(5)严重肺损伤。结论 熟练的救护技能和高效的应急能力，快速科学的抢救反应机制，相关科室的密切配合，是提高严重多发伤病人急救成功率的关键。

    [关键词] 严重多性发伤； 急诊救治； 护理

    [中图分类号]R9[文献标识码] B[文章编号] 1005-0515(2011)-04-025-02

    [Abstract] Objective To explore the strategy of emergency treatment and nursingto reduce mortality in patients with severe multiple trauma.Methods To Summarize the clinical datas of 358 cases of severe multiple traumafrom June 2009 to June 2010 in our emergency department and to analyze these cases in aspects from the first aid principles, first aid initial assessment and emergency treatment and nursing. Results295 patients were successfully rescued with an incidence of 82.4% and 63 patients were dead(17.6%). Major causes of death were (1)seriously injured late rescue ......