To summarize the perioperative nursing experience of a child with fireworks burn combined with abdominal blast injury. In view of the problems of early abdominal wound and organ continuous bleeding，postoperative abdominal infection and complications after injury，we adopted early rapid assessment，efficient anti-shock rescue，postoperative multi-measures combined with control of infection，and strengthening observation and symptomatic treatment of complications，personalized pain care，dynamic assessment and implementation of enteral nutrition and other nursing measures. After 36 days of treatment and nursing，the patient recovered and was discharged.