目的　确定创伤性失血性休克 (HTS)病人死亡和并发症发生的高危因素。方法　分析在创伤ICU和急诊部 (ED)内HTS病人 ,确定病死率、感染、器官功能障碍 (OD)的发生率和与此有关的预测指标。结果　 143例HTS病人 2 8%在入院后 2h内死亡 ,10 %死于 2～ 2 4h ,6 %在 2 4h后死亡 ;5 6 %生存。生存≥ 2 4h病人 47%发生感染和 2 4%发生OD ;最初 2 4h内复苏时增加晶体液输入 ,病死率升高。结论　创伤失血致低血压可能预示伤员有高病死率和并发症发生率 ;大量输入晶体液与高病死率有关。 Objective To determine the risk factors for death and complications in patients with traumatic hemorrhagic shock (HTS). Methods The HTS patients in the trauma ICU and emergency department (ED) were analyzed to determine the incidence of mortality, infection, organ dysfunction (OD) and their associated predictors. RESULTS: Twenty-eight of 143 HTS patients died within 2h after admission, 10% died from 2 to 24 hours, 6% died after 24 hours and 56% survived. 47% of patients survived 24 hours had an infection and 24% of them had an OD; during the first 24 hours of recovery, they increased their fluid inputs and their case fatality rate increased. Conclusions Traumatic hypotension induced hypotension may indicate that the wounded have a high mortality rate and the incidence of complications. A large amount of input fluid is associated with a high case fatality rate.