随着我国交通事业的发展,车祸所致创伤性休克较为常见,约占20%[1],其病人伤情复杂,病情变化快,器官生理功能紊乱严重。统计表明[2],休克1ｈ内得到及时救治,病死率为10%,但若超过8ｈ,则病死率上升为75%。因此,能否在短时内及时合理的救治,往往与伤员的存亡有关。现将我院急诊科1 With the development of China’s transportation industry, traumatic shock caused by a car accident is relatively common, accounting for about 20% [1]. The patient’s condition is complex, his condition changes rapidly, and the physiological function of the organ is seriously disrupted. Statistics show that [2], shock 1h get timely treatment, the case fatality rate was 10%, but if more than 8h, the case fatality rate rose to 75%. Therefore, timely and reasonable treatment in a short time is often related to the survival of the wounded. Now our hospital emergency department 1