Serious thoracic fractures may cause hemopneumothorax, which can affect the respiratory and circulatory functions of the patient and have serious consequences. Therefore, it is important to pay high attention to thoracic fractures in the elderly, pay attention to strict supine or semi-recumbent rest, closely observe the changes in the condition, and perform cardiac monitoring in the hospital for surgical treatment if necessary. If the fracture is not serious after imaging, or the fracture is only caused by minor violence, for this kind of minor thoracic fracture, pay attention to rest in supine or semi-recumbent position, use rib belt to protect the fracture end, reduce forceful coughing, observe the respiratory rate and blood pressure changes, help elderly patients to excrete sputum in time, and take oral medication to relieve pain, you can choose drugs such as bruise pill, Panax notoginseng tablets, Duyiwei capsule, etc. Encourage elderly patients to get out of bed during treatment.