The first aid of former hospital,early diagnosis and treatment,a simply operation mode,early use of antibiotic is the key to dec rease mortality and complication of severe multi-injury of superior and middle a bdomen.

• 重视院前救护, 及早诊断处理, 手术方式力求简单, 早期应用抗生素是抢救创伤性多发性上中腹部损伤及减少并发症的关键。