Male, 58 years old, patient with severe abdominal pain, admitted to the emergency room. The blood pressure was 80/50mmHg at that time and the hematocrit also dropped significantly! The consulting vascular physician requested an immediate CTA to clarify the diagnosis and immediate anti-shock treatment. The subsequent CTA confirmed the previous consideration, and the patient was immediately admitted to the extracardiac vascular ward to prepare for emergency surgery, which started a 48-hour intense battle for all medical and nursing staff of the vascular department. After active anti-shock treatment, the patient’s condition was slightly stabilized. However, surgery for a patient with a ruptured abdominal aortic aneurysm was urgent, or hemorrhage would be life-threatening at any time. After 8 hours of continuous battle in the operating room, the operation was successful. The patient’s abdominal aortic aneurysm was seen to have ruptured, more than 4,000 ml of retroperitoneal blood was removed, and the aneurysm was removed and the artificial blood vessel was replaced. The patient was then placed in the monitoring room for careful treatment. Although the patient’s life was saved, the postoperative management could not be taken lightly and required clinical observation and adjustment of treatment plan by doctors and nurses at any time. As the patient had little urine, unstable respiratory circulation and could not be taken off the ventilator, the doctor and nurses on duty were busy every moment: monitoring hourly urine volume, real-time observation of blood pressure, central venous pressure, blood oxygen, sputum aspiration, and adjusting the infusion and drug administration at any time. …… At 5:00 pm on the second day after surgery, the patient was successfully taken off the ventilator and all vital signs were gradually The patient was successfully discharged from the ventilator at 5:00 pm on the second day after surgery, and all vital signs were gradually stabilized. In the face of the patient’s gradual awakening from the hands of death, doctors and nurses breathed a long sigh of relief. Afterwards, although the patient had a complication of infection and renal insufficiency, he was discharged after careful treatment by all the doctors and nurses of the vascular surgery department, as well as the assistance of ICU doctors and nurses. Patients with ruptured abdominal aortic aneurysms are very dangerous and often die due to hemorrhage and shock, and the operative mortality rate is about 50%. With the sacred mission of healing and saving lives, when we encounter such patients, we should make timely judgment, organize manpower, operate as soon as possible, and make every effort to save the lives of patients.