由于传统和历史的原因，目前绝大多数急诊科的外科力量十分薄弱，很多城市，包括大城市在内的急诊科，实际上是“急诊内科”ｌ’］。这一现状若不改变，将严重限制急诊医学未来的进一步发展和急诊科功能的充分发挥。一、设立急诊外科的必要性１适应我国社会经济发展的需要：我国各 For the sake of tradition and history, surgical departments in the vast majority of emergency departments are currently very weak. In many cities, the emergency department, including the big cities, is actually the “emergency department”. If this situation is not changed, it will seriously limit the further development of emergency medicine and give full play to emergency department functions. First, the establishment of the need for emergency surgery 1 to adapt to China’s social and economic development needs: China’s