Recently, several patients with trauma to the pancreas were admitted. Among them, 5 cases had pancreatic transection. The pancreas is at the very back of the upper abdomen, close to the muscles of the posterior abdominal wall and the spine, and generally speaking, it is not easy to be injured. Because the stomach and intestine are in front to cushion the stress of injury. However, there is a situation in which the pancreas is easily injured, that is, the force of injury directly on the upper abdomen, the most common of which is the car driver. When a high-speed car hits an object in front, such as a rear-end collision, the car suddenly slows down or stops, and the driver’s body dives forward due to the huge inertia, the lower chest and upper abdomen will hit the steering wheel. The tremendous pressure will press the pancreas backward on the spine, causing a rupture in the middle of the pancreas. The combined injuries that also occur may include fractures of the ribs, contusions of the lungs, liver rupture, spleen rupture, and damage to the gastrointestinal tract. The most serious patient recently admitted is a typical example, coming in shock, with multiple rib fractures and multiple deep lacerations on the liver in addition to a comminuted contusion. The spleen was broken, the gallbladder was contused, the neck of the pancreas was transected, and contusions of the small intestine were also present. The injuries were so severe that emergency surgery was performed to remove part of the liver plus repair, resection of the caudal part of the pancreas, removal of the spleen, removal of the gallbladder, and intestinal repair. After the surgery, he was hospitalized in the intensive care unit for several days. Now the overall condition of the patient is improving and he was discharged from the hospital, but he still has some time to recover completely. A week ago, a patient was also driving without a seat belt, and the neck of the pancreas was broken and the head of the pancreas was shattered, so he had to undergo emergency surgery overnight. And this is a very high complication surgery, the incidence of major complications in 20-30%, the mortality rate in 3-7%. The patient’s condition is only just now stabilized. Among abdominal trauma, pancreatic trauma is the most troublesome. Because the pancreas is the main producer of digestive enzymes in our body, the food we eat is mainly digested by the protease, lipase and amylase in the pancreatic juice. The bleeding in pancreatic trauma is usually not much, thus it is relatively hidden and often not easily detected in time. And if the surgery is not timely, the pancreatic juice flowing from the ruptured pancreatic duct will digest its own tissues, including the pancreas on the side, which will then produce traumatic pancreatitis. After the pancreatic enzymes are absorbed into the blood, they will reach all parts of the body with the blood and corrode its own tissues, which will produce a series of systemic symptoms such as lung injury, kidney failure, myocardial injury, and encephalopathy. We had a case of traumatic pancreatitis in a patient with trauma to the tail of the pancreas. Although the surgery was performed, the inflammation of the pancreas did not stop immediately, and acute lung injury occurred the day after the surgery, and it took several days on a ventilator to improve. The pancreatic fistula in the pancreatic section after pancreatic trauma surgery is another difficult problem, and it is difficult to prevent the occurrence of pancreatic fistula, which adds another risk to the postoperative abdominal infection. At the same time, after pancreatic surgery, because the pancreas is partially removed, less insulin is produced, which also brings secondary diabetes and increases the risk of infection. Therefore, it is especially important to prevent trauma to the pancreas. Wearing a good seat belt when driving is very crucial and useful, it can prevent the body from diving forward due to the huge inertia force when the car suddenly brakes at high speed, pulling out the body and avoiding the abdomen from hitting on the steering wheel, thus avoiding the occurrence of pancreatic trauma. Remember to drive a good seat belt, just like riding a motorcycle wearing a good helmet, is also about life, remember to remember.