Rib fractures with effusion, more commonly known as pleural effusion or reactive pleural effusion, can be treated with pulmonary CT and 3D reconstruction of the ribs to accurately determine the number of rib fractures and the amount of pleural effusion. In case of less severe rib fracture combined with a small amount of pleural effusion, conservative treatment is usually chosen by promptly fixing the ribs with a chest strap. In addition, with the symptomatic pain relief such as Lophinzine extended-release tablets, you can combine the treatment with blood activating and stasis relieving drugs, such as blood activating and pain relieving capsules and Danshen tablets, which help the effusion absorb on its own. If there is a large amount of pleural effusion, you can choose chest implant drainage treatment. In case of severe rib fracture combined with severe fluid and blood accumulation, if necessary, surgical repositioning and fixation of the ribs, as well as cleaning up the accumulated blood and fluid, can be combined with antibiotics, such as levofloxacin, after surgery to prevent complications such as lung infection.