title: [Analysis of emergency treatment in 4519 patients with multiple injuries].
abstract: OBJECTIVE
  To investigate the clinical manifestations, treatment, complications, and prognosis of patients with multiple injuries.
  
  
  METHODS
  The clinical data, including the causes of injury, treatment, complications, causes of death, and mortality rate, of 4519 patients were retrospectively analyzed.
  
  
  RESULTS
  The major causes of injury were road traffic injury (2410 cases, 53.33%), violence injury (747 cases, 16.53%), and high falling injury (575 cases, 12.72%). The main involved positions included head (2247 cases, 18.71%), abdominal region and pelvis (2118 cases, 17.64%), and thoracic region (1853 cases, 15.43%). The major complications were shock (1497 cases, 33.13%). The main cause of death was sepsis with multiple organ dysfunction syndrome/failure (28 cases, 82.35%) after multiple injuries, significant higher than other causes in the same period (P<0.01).
  
  
  CONCLUSIONS
  The multiple injuries have various causes of disease, and were complicated with their diverse clinical manifestations, numerous complications, and high mortalities. Further research on the integrated rescue mortality is required.
authors.affiliation: Department of Traumatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China. yf_tjh@163.com
authors.forename: Fan
authors.initials: F
authors.lastname: Yang
authors.forename: Xiang-jun
authors.initials: XJ
authors.lastname: Bai
authors.forename: Zhao-hui
authors.initials: ZH
authors.lastname: Tang
authors.forename: Zhan-fei
authors.initials: ZF
authors.lastname: Li
authors.forename: Kai-jun
authors.initials: KJ
authors.lastname: Liu
authors.forename: Xian-zhou
authors.initials: XZ
authors.lastname: Song
mesh_terms: D004632:Emergency Medical Services; D006801:Humans; D009104:Multiple Trauma / Q000401:mortality / Q000628:therapy*; D012189:Retrospective Studies