Intracranial aneurysm is called a “bomb” buried deep inside the skull, when it does not rupture, patients usually do not feel abnormal, but once it ruptures, it leads to disastrous consequences. What is even more disturbing is that no one can predict when the aneurysm will rupture again after the rupture has occurred, which shows that intracranial aneurysm is an extremely terrible disease. In clinical practice, all we can do for a ruptured aneurysm is to treat the aneurysm as soon as possible to prevent a second rupture. However, some patients do have secondary ruptures for various reasons, and it is indeed a challenge for our neurosurgeons to deal with this group of patients. Although we can realistically tell the patient’s family about the very bad outcome, we have gained their understanding. However, we neurosurgeons should not be inactive or passive in this regard, we should face it positively. Recently, I have dealt with 5 patients with secondary ruptured aneurysms in a row, all of whom were in poor condition when they were brought to the hospital, and some of them even had cardiac arrest and were brought with intubation. For such patients, we performed surgical clamping or interventional embolization at the first time so that the aneurysm would not rupture again. On this basis, we strictly followed the concept of neurocritical resuscitation and implemented measures such as extraventricular drainage, intracranial pressure monitoring, and cerebral protection one after another. Happily, all patients in these cases obtained satisfactory recovery. Analyzing the successful experience of resuscitation of these patients and the lessons of past failures, my personal biggest experience is that in the past, the treatment for intracranial aneurysm emphasized anti-vascular spasm treatment, but did not pay much attention to the treatment of neurocritical conditions. Recently, these cases have been strengthened due to the concept of intensive neurocritical treatment, especially the need to take practical and effective measures in brain protection, including ensuring the necessary mean arterial pressure. Closely monitoring and controlling the cranial pressure, as well as ensuring the level of partial pressure of carbon dioxide, etc., so that more satisfactory results have been achieved.