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随着现代社会的飞速发展，高能量损伤因素较过去大大增加，因此而就诊的创伤患者数量逐年上升。创伤急救医学的发展已经成为医疗机构服务水平和医疗质量的重要体现，也能够体现医院管理者对于这一学科的关注和重视。本文从医院管理者的角度，阐述创伤急救专业在医院发展中的地位和作用，回顾天津市创伤急救中心建设和改革的重要经验，结合实际对未来的学科以及中心建设提出展望。“,”With the rapid development of modern society, high energy injury has greatly increase as compared with the past, and the number of trauma patients seeking medical treatments has risen year by year. Trauma emergency medicine has become the reflection of the service level and medical quality of medical institutions, as well as the hospital administrators' attention and concern to this discipline. This paper aims to elaborate the status and role of emergent medicine of trauma in the development of hospitals, to review the significant experience in the construction and reform of Tianjin Trauma Emergence Center, and put forward the prospect of future disciplines and center construction in combination with the practice.