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.