目的：分析多发伤中颅脑颈椎胸部损伤三者之间的联系。方法：收集我院2014年2月-2015年2月创伤外科收治的多发伤中存在颅脑颈椎胸部损伤患者1140例，分析三者之间的联系。结果：颅脑损伤合并颈椎损伤的发生率21.3%，合并胸部损伤的发生率42.6%，同时合并颈椎和胸部损伤的发生率18.4%。颈椎损伤合并颅脑损伤的发生率61.9%，合并胸部损伤的发生率66.7%，合并颅脑胸部损伤的发生率53.3%。胸部损伤合并颈椎损伤的发生率46.7%，合并颅脑损伤86.7%，合并颅脑胸部损伤的发生率37.3%。1140例患者中漏诊20例，占1.75%。结论：多发伤中，颅脑颈椎胸部三者之间有着密切联系，在为患者确诊时，要考虑是否存在合并其他2处损伤的情况。医护人员要提高对颅脑、颈椎、胸部损伤之间联系的认识，准确诊断病情，减少漏诊情况的发生，从而提高临床救治的效果。 Objective: To analyze the relationship between the three traumatic brain injury in the head and neck of multiple injuries. Methods: A total of 1140 cases of craniocerebral injury patients were included in our hospital from February 2014 to February 2015 in our department of traumatic surgery. The relationship between them was analyzed. Results: The incidence of traumatic brain injury combined with cervical injury was 21.3%. The incidence of complicated chest injuries was 42.6%. The incidence of cervical and thoracic injuries was 18.4%. The incidence of cervical injury combined with craniocerebral injury was 61.9%, the incidence of combined chest injury was 66.7%, and the incidence of combined craniocerebral injury was 53.3%. The incidence of chest injury combined with cervical injury was 46.7%, with brain injury combined 86.7%, the incidence of brain and chest injuries combined 37.3%. Misdiagnosis in 1140 patients in 20 cases, accounting for 1.75%. Conclusion: In multiple traumas, there is a close relationship between the three parts of craniocerebral cervical vertebrae. When diagnosing the patients, we must consider whether there are other two injuries. Health care workers to improve the link between the brain, cervical, chest injury awareness, accurate diagnosis of the disease and reduce the occurrence of missed diagnosis, thereby enhancing the effectiveness of clinical treatment.