Ectopic pregnancy with pelvic hemorrhage requires prompt surgical treatment. Ectopic pregnancy refers to ectopic pregnancy, which is a common obstetrics and gynecology emergency, mostly seen in tubal pregnancy. Typical clinical manifestations are history of menopause, abdominal pain and irregular vaginal bleeding. When ectopic pregnancy with pelvic blood indicates rupture of the pregnancy site, which can cause severe lower abdominal pain, and in severe cases, can also cause hemorrhagic shock, or even life-threatening and other serious complications, a clear diagnosis needs to be surgical treatment as soon as possible. Early pregnancy must follow the doctor’s instructions to carry out ultrasound examination to clarify the site of pregnancy, when the ultrasound suggests ectopic pregnancy and accompanied by pelvic blood, combined with the history, clinical manifestations and vaginal fornix puncture and other methods can assist in the diagnosis, the need to comply with the doctor’s instructions for emergency cesarean section, and stop bleeding in a timely manner. After the operation, it is necessary to pay attention to appropriate rest, appropriate increase in nutrition, and review on time.