近几年来,随着交通事故和其他灾害性事故的增多,多发伤的发生率也逐年增加,由于多发伤的伤情多较复杂,并发症多,死亡率高[1],因此,做好多发伤的早期救护对提高多发伤的抢救成功率极为重要。1多发伤伴昏迷的原因创伤引起昏迷的主要原因有头颅损伤和创伤失血性休克,亦可两者并存? In recent years, with the increase of traffic accidents and other catastrophic accidents, the incidence of multiple trauma has also increased year by year. Because multiple traumatic injuries are more complicated, have more complications and have a higher mortality rate [1] Early ambulation of the trauma to improve the success rate of salvage injury is extremely important. 1 multiple injuries with coma causes Coma caused by trauma are the main causes of craniocerebral injury and traumatic hemorrhagic shock, the two can co-exist?