The continuous shackle chest is a group of trauma syndromes with multiple multiple rib fractures, resulting in local chest wall softening and paradoxical breathing, which seriously affects the respiratory and circulatory functions. Most of shackle thorax is caused by severe violent injury, often accompanied by the following pathophysiological changes: 1, severe pain leading to hypoventilation. 2, soft tissue injury of the chest wall leads to respiratory power deficiency. 3, Pleural cavity pressure change mechanism is antagonized. 4.Local lung tissue injury leads to decreased lung compliance and incomplete lung expansion. 5.Insufficient pressure change in the pleural cavity leads to fluid and blood accumulation that cannot be drained in time, causing fluid accumulation and adhesions; the latter in turn negatively affects pulmonary expansion, resulting in a reciprocal adverse cycle of cause and effect. 6.Some cases are often accompanied by severe compound injuries. 7.Most patients will have temporary or permanent collapsed thoracic deformity. Li Xiaohua, Department of Thoracic Surgery, Jinan Central Hospital The focus and difficulty in the management of cases with shackle chest is how to control the stability of chest wall and pulmonary edema. Due to the lack of satisfactory fixation materials, external traction, local pressure and ventilator support were mostly used in the past, but never well resolved the problems of pain, pleural effusion, pulmonary atelectasis and thoracic collapse deformity. Since the beginning of 2009, we have applied damage control theory and rapid rehabilitation surgery theory to classical trauma rescue work after repeated arguments, which greatly shortened the hospitalization time, reduced the probability of serious complications and ensured the success rate of rescue to the greatest extent. After continuous reflection and revision, the following workflow is proposed for the reference of colleagues: 1. Rapidly diagnose the condition and determine whether to enter the damage control procedure. 2.Prioritize initial simplified surgery to control active bleeding and cavity organ leakage. 3. Minimize the duration of ischemia and hypoxia. 4. Pay early attention to the prevention and correction of the “lethal triad” – hypothermia, acidosis and coagulation dysfunction. 5, timely fixation of the floating chest wall to restore the stability of the pleural cavity (among all known fixation materials, the memory alloy rib ring hugger is the most ideal choice. (This method is fast, easy and reliable, and the strength of fixation is better than any traditional method). 6.Early use of ventilator can reduce pulmonary complications and pleural cavity complications. 7.Early attention to the implementation of effective protection of vital organs. 8.Appropriate use of pain medication and nutritional drugs. 9.After achieving the control purpose, carry out functional recovery training as early as possible. 10.Focus on psychological education and prevention of traumatic psychological disorders. In the treatment of more than ten serious traffic accident injuries and fall injuries involved, this new treatment concept has played an excellent effect, and all patients have achieved the ideal control requirements.