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.