Chest trauma is a common consequence of traumatic events. It may be blunt or penetrating. A low number of patients with blunt chest trauma require surgical intervention; in contrast, penetrating ones frequently require surgery and are associated with higher mortality. 

Chest trauma due to its anatomical location and to its potential effects on different systems must be multidisciplinary, and emergency and trauma systems should be organized and prepared to face all aspects. 

The present paper describes the recommendations provided by World Society of Emergency Surgery (WSES) and the American Association for the Surgery of Trauma (AAST), about comprehensive management of thoracic trauma.

胸部创伤是意外事件中的常见损伤，可分为钝性伤与穿透伤。绝大多数钝性胸部创伤患者无需手术干预；与之形成对比的是，穿透性创伤则常需手术治疗，且死亡率显著更高。

鉴于胸部特殊的解剖位置及其可能对多系统功能产生的连锁影响，其救治必须遵循多学科协作模式。急诊与创伤体系需建立完善的组织架构并做好全面准备，以应对各类胸部创伤的救治需求。

本文旨在阐述世界急诊外科学会（WSES）与美国创伤外科协会（AAST）就胸部创伤的全面系统性管理所提出的权威建议。