Objective To summarize the emergency treatment and nursing for patients with serious abdominal injury. Methods Preoperative emergency nursing care, postoperative intensive care, observation and nursing care of all kinds of complications were performed in 58 cases of patients with serious abdominal injury. Results 55 cases were rescued successfully, the success rate was 94.83%, 3 cases died, the death rate was 5.17%. 1 case died of hepatic failure, 2 cases died of hemorrhagic shock. Conclusions It's necessary to pay attention to preoperative emergency treatment for serious abdominal injury, preoperative monitoring of respiratory function, central venous pressure, urine volume and color and volume of the drainage fluid should be strengthened.