总结1例维持性血液透析患者透析中脑出血的护理体会。鉴于该患者病情危急、手术及康复状况特殊等难点，采用列线图和“平衡、眼、面、上肢、语言和时间”评估工具（balance，eyes，face，arm，speech，time，BE-FAST）联合识别脑出血，启动护理应急梯队以实现安全下机、快速转运及急救处理，落实多学科协作下的分阶段抗凝策略，并开展医院—家庭过渡期护理。经多学科团队救治及精细化全流程护理，患者住院 35 d后出院。随访1个月，患者右侧肌力由Ⅱ级恢复至Ⅲ级，语言功能基本恢复。

To summarize the nursing experience of cerebral hemorrhage during dialysis in a maintenance hemodialysis patient. In view of the patient’s critical condition，special surgical and rehabilitation conditions and other difficulties，the nomogram and “balance，eyes，face，arm，speech，time”（BE-FAST） dual tools were used to jointly identify cerebral hemorrhage，the nursing emergency echelon was initiated for safe disembarkation，rapid transport and emergency treatment. The phased anticoagulation strategy under multidisciplinary cooperation was implemented，and hospital family transitional care was carried out. After multidisciplinary team treatment and refined whole process nursing，the patient was discharged 35 days after hospitalization. After one month of follow-up，the right muscle strength recovered from grade Ⅱ to grade Ⅲ，and the language function basically recovered.