Rib fracture feeling chest tightness can not breathe, usually due to pain or fracture caused by pulmonary contusion or hemopneumothorax appears, mainly chest pain, dyspnea, often accompanied by cough, chest tightness and other symptoms, need to be treated with drugs or surgery. If the chest tightness is caused by pain, analgesic treatment is needed, and oral analgesic drugs, such as ibuprofen and aspirin, can be taken to relieve the pain. If it is due to hemopneumothorax, etc., it needs to be treated by chest puncture and aspiration or closed chest drainage, or surgical treatment if it does not work. In addition, effective immobilization of rib fractures is also needed, and immobilization with an elastic chest strap is recommended to reduce pain symptoms. The patient needs to adopt a semi-recumbent position and take deep breaths independently to promote sputum discharge and reduce the incidence of infection. Patients can use antibiotics such as cephalosporin and penicillin, which can reduce inflammation and prevent complications. Rib fracture patients when the symptoms of chest tightness can not breathe, it is recommended that the professional doctor according to the condition to take appropriate treatment, should be under the guidance of the doctor to take drugs.