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Abstract Objective： To discuss the importance of the first aid nursing to save liver trauma life and improve the cure rate. Method： We recorded and analyzed retrospectively more complete 96 cases with severe liver injury from August 2000 to April 2014. Result： 96 liver rupture patients， all hepatic artery ligation， simple hepatic wound debridement repair 30 cases， additional common bile duct and T tube drainage in 6 cases， hepatic artery ligation（ HAL） and T-tube drainage 42 cases， 14 cases of irregular hepatectomy， right liver injury 18 cases. The bare area of liver of severe comminuted damage， unable to repair， average blood lost more than 2500 mL， in critical condition， with gauze with packing the injured part and inferior phrenic， using HAL and T tube drainage， all patients were in Prin-gle ’s method for processing.The blocking time was within 20 minutes， the average postoperative blood transfusion volume in the 1000-2400 mL. 19 cases of biliary tract bleeding， subphrenic infection in 12 cases， pulmonary infection， organs function failure in 15 cases，12 cases of death. Conclusion： Liver traumatic rupture patients need early correct diagnosis， with medical treatment， fast recovery of body fluid balance. In the emergency treatment and nursing process should be fast and accurate preoperative blood transfusion with all kinds of preparations， postoperative nursing. Hemorrhagic shock at the same time， operation treatment. First aid nursing positively has great effect on saving the patient’s life and improving the cure rate.
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