摘要肺爆震伤已成为现代战创伤中主要伤类，具有外轻内重、病情发展迅速及早期病死率高等特点。其伤情复杂，多发伤和复合伤多，目前无有效的防护材料，少有精准的出血检测仪器和轻便的监测转运设备等，各临床医疗中心没有标准的救治规范，国内外缺乏具有循证医学证据的指南，从而导致肺爆震伤的病死率较高。因此，中华医学会创伤学分会和《中华创伤杂志》编辑委员会组织军内外胸外科和创伤外科等相关领域的专家，综合有效证据和临床一线救治经验，共同制订《肺爆震伤临床救治指南（2023版）》，就肺爆震伤的定义和特点、院前诊断和救治及院内救治等提出16条推荐意见，为各级医院开展临床救治提供依据。

abstractsPulmonary blast injury has become the main type of trauma in modern warfare, characterized by externally mild injuries but internally severe injuries, rapid disease progression, and a high rate of early death. The injury is complicated in clinical practice, often with multiple and compound injuries. Currently, there is a lack of effective protective materials, accurate injury detection instrument and portable monitoring and transportation equipment, standardized clinical treatment guidelines in various medical centers, and evidence-based guidelines at home and abroad, resulting in a high mortality in clinlcal practice. Therefore, the Trauma Branch of Chinese Medical Association and the Editorial Committee of Chinese Journal of Trauma organized military and civilian experts in related fields such as thoracic surgery and traumatic surgery to jointly develop the Clinical treatment guideline for pulmonary blast injury ( version 2023) by combining evidence for effectiveness and clinical first-line treatment experience. This guideline provided 16 recommended opinions surrounding definition, characteristics, pre-hospital diagnosis and treatment, and in-hospital treatment of pulmonary blast injury, hoping to provide a basis for the clinical treatment in hospitals at different levels.