Abstract: Objective To investigate the epidemiological and clinical characteristics such as traumatic condition, traumatic causes, remedy status quo, causa mortis and complications of in-patients with severe multiple trauma from primary hospitals. Metheds Three thousand and one hundred eighty seven cases of severe multiple trauma patients from eight Secondary First-class hospitals in Tangshan District including Leting，Luan，Tanghai，Qianxi, Qian,an, Fengrun,Yutian ,Zunhua in last ten years from January 1999 to December 2008 were retrospectively analyzed. Results Peasants aged from 16 to 60 years were the high risk group for severe multiple trauma in which head and limps were the main injured sites. Traffic accident injury, industrial injury and public security injury were the most common causes for severe multiple trauma, which usually took place at 6.pm to 8.pm in autumn and in winter. The higher the value of mAIS or ISS was, the higher the mortality rate was. Conclusion In the patients with severe multiple trauma, male peasant have the highest incidence. It is a effective way for primary hospitals to establish an integration remedy mode including rescuing patients with severe multiple trauma from on-the- spot to in hospital besides intensive education and taking preventative steps.