Pain after impact on the right upper abdomen should be suspected of organ injury, such as liver, duodenum, small intestine, colon, bile duct, etc., or rib fracture. The patient should go to the hospital as soon as possible to complete the appropriate examinations, such as X-ray abdominal plain film, chest and abdominal CT, abdominal cavity puncture, blood routine, etc. 1. X-ray abdominal plain film: X-ray abdominal plain film can find free gas in the abdominal cavity, which is valuable for the diagnosis of rupture of cavity organs. If free gas is found under the diaphragm or retroperitoneum, it should be suspected that intestinal rupture is possible. 2. CT chest and abdomen: CT chest and abdomen is one of the most important means of diagnosis of thoracic and abdominal trauma, which can not only deduce the rupture of cavity organs through the shadow of intra-abdominal gas, but also has an important value for the rib fracture, liver rupture, lung contusion, hemopneumothorax and other injuries caused by the impact of the right upper abdomen. 3. Diagnostic laparotomy: For abdominal trauma that is difficult to be diagnosed by imaging, diagnostic laparotomy combined with peritoneal lavage is an important means of examination, which can infer organ damage through the laboratory analysis of abdominal fluid. For example, the presence of bile component should be suspected of biliary system or liver injury, mainly blood component should be suspected of liver rupture, the presence of pancreatic fluid component should be suspected of pancreatic injury, etc., and the diagnostic positivity rate is high. 4. Blood routine: For patients with active intra-abdominal bleeding due to suspected liver rupture, blood routine tests can be performed continuously to dynamically monitor the changes in red blood cell and hemoglobin concentrations, and infer the bleeding rate to assist in diagnosis and guide the next step of treatment. Right upper abdomen pain after impact, we recommend that the patient to the hospital as soon as possible to clarify the injury, if necessary, also need to go to the emergency room for resuscitation, do not delay so as not to delay the rescue treatment.