总结1例高龄急性脑梗死患者继发腹壁巨大血肿的护理体会。 护理要点：腹壁巨大血肿的早期识别和处理；一旦发现活动性出血，紧急落实肋间动脉栓塞术的围手术期护理；抗凝停止期间栓塞事件的预防以及落实早期 多学科康复护理。 经过19 d的治疗护理，患者病情稳定出院。 随访1个月，患者状况良好。

To summarize the nursing experience of huge abdominal wall hematoma secondary to acute cerebral infarction in an aged patient. Key points of care院early identification and management of huge abdominal wall hematoma；emergency perioperative nursing of intercostal artery embolization once active bleeding was found； prevention of embolic events during anticoagulation cessation and early multidisciplinary rehabilitation nursing. After 19 days of treatment and nursing，the patient was discharged stably. The patient was followed up for 1 month and he was in good condition.