title: The treatment of severe and multiple injuries in intensive care unit: report of 80 cases.
abstract: OBJECTIVE
  To summarize our case load in managing severe and multiple injuries (SMI) in the Intensive Care Unit (ICU).
  
  
  METHODS
  The clinical data of 80 SMI patients treated in our ICU from January 2009 to June 2013 were analyzed.
  
  
  RESULTS
  Results of these 80 SMI patients, 60 (75%) were salvaged and 15 (18.75%) died. The causes of death included severe head injury (n=7), severe chest injury (n=3), destruction of injured abdominal organs (n=2), and multiple organ dysfunction syndrome (n=3). Five patients (7.50%) gave up treatment and were discharged upon their own requests. Early application of continuous renal replacement therapy (CRRT) and enteral nutrition (EN) improved outcomes.
  
  
  CONCLUSIONS
  The key interventions during the ICU treatment of SMI include: adequate analgesia and appropriate sedation; timely management of hypoxemia; reasonable fluid resuscitation and CRRT.
authors.affiliation: Department of Critical Care Medicine, the People's Hospital of Kecheng District, Quzhou, Zhejiang Province, China. bali_china@sina.com.
authors.forename: W
authors.initials: W
authors.lastname: Chen
authors.forename: J
authors.initials: J
authors.lastname: Wang
authors.forename: Q L
authors.initials: QL
authors.lastname: Feng
authors.forename: S C
authors.initials: SC
authors.lastname: Xu
authors.forename: L
authors.initials: L
authors.lastname: Xiang
authors.forename: L Y
authors.initials: LY
authors.lastname: Feng
authors.forename: Z L
authors.initials: ZL
authors.lastname: Chang
authors.forename: L
authors.initials: L
authors.lastname: Ba
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000698:Analgesia / Q000379:methods; D004750:Enteral Nutrition / Q000379:methods; D005260:Female; D005440:Fluid Therapy / Q000379:methods; D006801:Humans; D007362:Intensive Care Units / Q000639:trends; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000175:diagnosis / Q000628:therapy; D009104:Multiple Trauma / Q000175:diagnosis* / Q000628:therapy*; D017582:Renal Replacement Therapy / Q000379:methods; D012720:Severity of Illness Index; D016896:Treatment Outcome; D055815:Young Adult