Blast injury usually occurs in human bodies exposed to blast wave (shock wave). War conflict and accidents account for the pathogenesis of blast injury.Since entering the 21th century, the Chinese achievement in social progress and economical development has grasped the world′s eyesight.Nevertheless, in the field of social safety especially facing the aggravation of regional contradiction and local conflict in the world, the explosion accidents have showed the tendency of gradual increase and diversification.Furthermore, these non-martial blast injuries have manifested some new characteristics in traumatic condition as well as outcome.Thus, we need to deeply understand the historical transition of explosive blast injury, clearly know its principle of precision diagnosis and treatment. It is valuable to break through the theoretical and technological bottleneck for research in blast injury.Moreover, it is of great clinical value and social significance.