探讨了严重自然灾害医学救援的工程管理，着重分析了这些严重突发事件医学救援的极端重要性和艰难性，以及汶川大地震医学救援的巨大成就和存在的问题，进而从宏观政策、医疗卫生和教育训练3个层面提出了进一步加强严重自然灾害医学救援工程管理的思考和建议。

The engineering management of medical emergent rescue in severe natural disaster was discussed following Chinese Wenchuan Earthquake. It is illustrated that the medical rescue is much more important and difficult in such a severe sudden incident. The great achievement and problems of the medical rescue in Wenchuan Earthquake were discussed in detail. On the basis of these discussions, the thinking and suggestions for enhancement of medical rescue in the level of macro policy, medicine and health, as well as education and training were given in these papers.