创伤是时间敏感性疾病,快速转运创伤患者到有条件提供适当救治的机构,在黄金时间内及时正确的复苏并给予确定性处理治疗,可以使创伤后死亡的第二高峰从34%降低到20%,挽救相当部分很可能死亡的伤员生命~([1])。得益于上世纪70年代以来,创伤救治体系的建设和发展的成果,发达国家和地区严重创伤死亡的时间曲线由“三峰模式”转变为“单峰模式”~([2])。杨从山等~([3])从防范风险的角度提出了重症患者分级管理的必要性,认为可合理安 Trauma is a time-sensitive disease that rapidly transports traumatic patients to institutions that have the condition to provide the appropriate treatment. Correct and timely recovery and prime treatment during prime time can reduce the second peak of post-traumatic death from 34% to 20 %, To save a considerable portion of the wounded lives that are likely to die ~ ([1]). Benefiting from the achievements made in the construction and development of the trauma rescue system since the 1970s, the time curve of serious traumatic deaths in developed countries and regions has shifted from the “triple peak mode” to the “single peak mode” ). Yang from Hill and other ~ ([3]) from the perspective of risk prevention put forward the need for grading management of critically ill patients that can be safe