Objective To observe the protective effect of ulinastatin on the occurrence and development of multiple organ dysfunction syndrome (MODS) in patients with traumatic coagulation disease.Methods 80 patients who met the diagnostic criteria of traumatic coagulation disease were randomly divided into observation group and control group.The patients in both groups were treated according to the routine treatment of traumatic coagulation disease.The observation group was added with ulinastatin 400000 U i.v. drip, twice a day.The prothrombin time (PT), activated partial thromboplastin time (APTT), platelet count (PLT), fibrinogen content (FIB) and D-dimer content (D-D) were dynamically observed before treatment and on the 1st, 2nd, 3rd, 5th, 7th, 10th and 14th days after treatment.The levels of interleukin-6 (IL-6) and interleukin-10 (IL-10) in the blood of the two groups were measured before treatment and on the 1st, 2nd, 3rd, 5th, 7th, 10th and 14th days after treatment.The changes of Apache II score, ISS score and MARSHALL score were recorded before treatment and on the 1st, 2nd, 3rd, 5th, 7th, 10th and 14th days after treatment.The length of stay in ICU, the incidence of MODS and 30 day mortality were compared between the two groups.Results there was no significant difference between the two groups before treatment (P>0.05).Pt, APTT, PLT, FIB and D-D in the observation group were lower than those in the control group on the 1st, 2nd, 3rd, 5th, 7th, 10th and 14th days after treatment (P<0.05).The contents of inflammatory mediators IL-6 and IL-10 in the observation group were significantly lower than those in the control group on days 1, 2, 3, 5, 7, 10 and 14, and returned to normal earlier than those in the control group (days 7 and 10, resp.).There was significant difference between the two groups (P<0.05).The Apache II score, ISS score and MARSHALL score of the observation group were better than those of the control group on the 1st, 2nd, 3rd, 5th, 7th, 10th and 14th days after treatment (P<0.05).The ICU length of stay, the incidence of MODS and the 30 day mortality in the observation group were significantly lower than those in the control group (P<0.05).Conclusion early addition of Ulinastatin to patients with traumatic coagulation disease on the basis of routine treatment can significantly improve the coagulation status, reduce the degree of inflammatory reaction, shorten the length of stay in ICU, reduce the incidence of MODS and 30 day mortality, and improve the prognosis of patients.