• W Chen, J Wang, Q L Feng, S C Xu, L Xiang, L Y Feng, Z L Chang, and L Ba.
• Department of Critical Care Medicine, the People's Hospital of Kecheng District, Quzhou, Zhejiang Province, China. bali_china@sina.com.
• Eur Rev Med Pharmacol Sci. 2014 Jan 1; 18 (24): 3797-801.

ObjectiveTo summarize our case load in managing severe and multiple injuries (SMI) in the Intensive Care Unit (ICU).Patients And MethodsThe clinical data of 80 SMI patients treated in our ICU from January 2009 to June 2013 were analyzed.ResultsResults 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.ConclusionsThe key interventions during the ICU treatment of SMI include: adequate analgesia and appropriate sedation; timely management of hypoxemia; reasonable fluid resuscitation and CRRT.

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