随着我国工业化进程以及社会不稳定因素的长期存在，意外爆炸事件时有发生并渐呈增多趋势。爆炸冲击伤伤情特点也表现出新的规律和伤情转归特点。为此，本文立足和平时期爆炸冲击伤诊治情况，回顾了爆炸冲击伤类别与伤情特点，分析爆炸冲击伤伤情与距离的内在联系，并对爆炸冲击伤复合因素在伤情诊治中的权重予以探讨。旨在结合爆炸冲击伤循证医学证据与经验评估，尝试实现爆炸冲击伤精准评估与个体化诊治的可能性，并从爆炸冲击伤诊治角度对防护策略提出新的需求，为和平时期爆炸冲击伤的规范化诊治提供借鉴和启示。

With the progress of Chinese industrialization and the long-time existence of social unsteadiness factors, the unexpected explosive accidents presented the tendency of up regulation.The state of explosive blast injury showed some new regularity and outcome characteristics.Thus, we retrospectively investigated its classification and injury characteristics based on the non-martial explosive blast injury.The inherent connection of state of blast injury and distance was analyzed.Also, the composite factors weighted in the diagnosis and therapy of explosive blast injury have been stringently evaluated.The aim of the present study is to propel the precision evaluation and personalized diagnosis as well as therapy of explosive blast injury with regard to its evidence-based clues and experienced evaluations.It might be of significance for newly raising protective strategy from the view of its diagnosis and therapy.It maybe supplies a new mirror or a kind of enlightenment for Chinese normalized diagnosis and therapy of explosive blast injury in the peacetime.