1989-05～1998-12救治创伤失血性休克69例,就其在高原环境下的病理特点、救治方法等问题进行探讨。1　临床资料本组69例,男55例,女14例;年龄6～65岁,平均30岁,以20～30岁者居多。均为骨折多发伤,闭合伤38例,开放伤31例,伴有肝脾肺等脏器破裂者27例。致伤原因:重物砸伤20例,挤压 69 cases of traumatic hemorrhagic shock were treated from 1989-05 to 1998-12, and their pathological characteristics, treatment methods and other issues in the plateau environment were discussed. 1 Clinical data The group of 69 patients, 55 males and 14 females; aged 6 to 65 years, an average of 30 years old, mostly in 20 to 30 years old. All fractures were multiple injuries, closed injury in 38 cases, open injury in 31 cases, accompanied by liver and spleen and other organs rupture in 27 cases. Cause of injury: heavy injury injured 20 cases, squeezed