Rib fractures in the back should be selected for analgesia, chest strap immobilization, or surgical immobilization depending on the number of ribs fractured and whether the wound is open or not. 1. Analgesia: After rib fracture, effective analgesia should be administered first. Single single rib fracture can be treated with oral diclofenac or celecoxib, while multiple multiple rib fractures can be treated with epidural analgesia, intercostal nerve block, etc. Commonly used analgesics are tramadol and codeine. It can effectively improve the patient’s lung function, which is favorable to the follow-up treatment. 2. Chest belt fixation: when the fracture is closed single rib fracture or mild multiple rib fracture, because there are less dislocation and movement of the fracture broken end, then we can use the head and chest belt or elastic chest belt to fix the thorax. 3. Surgical fixation: if the fracture is severe or open, conventional surgery or thoracoscopic rib fixation should be performed. The open wound should be thoroughly debrided and then fixed. After the rib fracture of the back, you should consult the doctor as soon as possible for treatment, and the medication should be administered under professional medical advice.