目的:探讨损伤控制性手术理念在严重多发伤中的应用体会。方法:总结我院2008年1月以来救治的21例符合损伤控制性手术的严重多发伤病例资料。结果:治愈16例(71.4%),死亡2例(9.5%),3例因合并重度颅脑损伤,经复苏后转上级医院治愈。1例死于严重胸腹部损伤合并骨盆骨折(入院1小时内死亡),1例术后并发多脏器功能衰竭死亡。结论:严重多发伤患者,通过有计划实施损伤控制手术,其手术风险、死亡率及术后并发症发生率明显下降,尤其在基层医院,更具有临床应用价值。 Objective: To explore the application of the concept of injury control surgery in severe multiple trauma. Methods: To summarize the data of 21 cases of severe multiple traumatic injuries in our hospital controlled by surgery since January 2008. Results: 16 cases (71.4%) were cured and 2 died (9.5%). Three cases were complicated by severe craniocerebral injury and were cured by superior hospital after resuscitation. One patient died of severe chest and abdomen injury with pelvic fracture (died within one hour after admission), and one died of multiple organ failure after operation. CONCLUSIONS: In the severe multiple traumatic injury patients, the risk of surgery, mortality and the incidence of postoperative complications are significantly reduced through the planned implementation of injury control surgery, especially in the primary hospitals, which has clinical value.