Abstract: Objective： To investigate the effect of correcting hypothermia combined with limited fluid resuscitation on the prognosis of patients with severe abdominal trauma-hemorrhagic shock (THS). Methods： A total of 110 patients with severe abdominal THS admitted to our hospital from January 2016 to December 2018 were enrolled. According to the random number table method， the patients were randomly divided into the observation group and the control group， 55 cases in each group. The control group was treated with limited fluid resuscitation， and the observation group was treated with correcting hypothermia combined with limited fluid resuscitation. Changes of hemodynamic parameters [mixed venous oxygen saturation (SvO2)， cardiac index (CI)， central venous pressure (CVP)]， prothrombin time (PT)， activated partial thromboplastin time (APTT)， arterial blood lactate (ABL)， inflammatory factors [C-reactive protein (CRP)， interleukin-6(IL-6)， interleukin-10（IL-10）] levels before and after treatment， case fatality rate and occurrence of complications were compared between the two groups. Results： 2 h after treatment，the levels of SvO2， CI， CVP， APTT and serum IL-10 in the two groups were higher than those before treatment (P<0.05)， and the ABL and serum CRP and IL-6 levels were lower (P<0.05). The improvement of the observation group was more significant (P<0.05). Compared with before treatment， the PT value of the observation group decreased significantly after treatment (P<0.05)， while the PT value of the control group increased (P<0.05). The case fatality rate and incidence of complications of the observation group were （3/55）5.45% and（4/52）7.69% respectively， which were lower than （10/55）18.18% and（11/45）24.44% of the control group (P<0.05). Conclusion： In treating patients with severe abdominal THS， the combination of correcting hypothermia and limited fluid resuscitation can effectively improve the hemodynamic conditions in patients， correct their coagulation disorders， mitigate inflammatory injury as well as reduce case fatality rate and occurrence of complications.