With the gradual maturation of interventional technology, its minimally invasive and efficient advantages are gaining more and more attention from the clinicians, and many patients who originally required emergency surgery can be treated through intervention. The treatment of three cases in one hospital is summarized as follows. 1, clinical data Case 1 male, 38 years old, was admitted to the hospital near the car accident as an emergency after a car accident with severe pain in the right chest and right quadrant of the ribs for one hour. Preliminary diagnosis: hemorrhagic shock, fracture of the 2nd to 9th ribs of the right chest, closed abdominal injury, and possible liver and spleen rupture. A dissection was performed, and intraoperative hemorrhagic fluid and blood clots of about 3000 ml were seen in the abdominal cavity, and the right posterior lobe of the liver was severely lacerated. The ruptured liver was repaired and the abdominal cavity was drained. After the operation, the patient still felt pain in the chest and abdomen. He was transferred to our hospital on the 9th day. After admission, he was given supportive and anti-infective treatment. The patient’s body temperature always fluctuated between 37~38℃. Twenty days after the operation, the patient suddenly developed panic and chest tightness, and had pressure pain in the right upper abdomen. Thereafter, the patient had several episodes of panic attacks and irregular fever, which were relieved by blood transfusion. 40 days after the operation, the patient’s symptoms suddenly worsened, with Bp12/8kpa, P120/min, fullness of the right upper abdomen with obvious pressure pain, and the possibility of rebleeding from liver rupture was considered. The total amount was about 5000ml~6000ml, the blood pressure had dropped to 60/0mmHg and the heart rate was 160/min. Blood was transfused under pressure. Localized necrosis of liver tissue with putrefaction was seen at the original repair site, and small arterial spurts of blood were seen at its lower edge. Local debridement was performed, and the hemorrhage was stopped by penetrating sutures. Further exploration of the hepatic hilum was unsuccessful in an attempt to ligate the hepatic artery. On the second postoperative day, the patient again showed decreased blood pressure, increased heart rate, and increased drainage of the abdominal cavity, and no significant improvement was seen after fluid replacement and blood transfusion. Under local anesthesia, Seldinger technique was used to cannulate the right hepatic artery through the left femoral artery to the proximal end, and injected 40% Omnipaque. After embolization, the patient’s blood pressure gradually stabilized, and the flow of abdominal drainage tube gradually decreased. 1 week after the operation, ultrasound review showed that the right liver was obviously atrophied and the left liver was compensated with enlargement. The patient was discharged from the hospital in good condition. Kang Junsheng, General Surgery Department, Taian 88 Hospital Case 2 male, 64 years old, was admitted to the hospital with epigastric pain for 6 days, recurrent black stools for 3 days, and external gastroscopy suggesting gastroduodenal bulb ulcer with active bleeding bleeding from the bulb ulcer. The patient had a history of primary hypertension for more than 20 years. Physical examination: anemic appearance, mild subxiphoid pressure pain. Gastroscopy showed 2 superficial ulcers in the gastric sinus near the pylorus and a 1cm1×.5cm deep concave ulcer in the posterior wall of the duodenal bulb. Treatment was given with rehydration fluids and sedative acid suppressants. During the conservative process, a large amount of tarry stool with clots of about 1600 ml appeared again, and chest tightness and irritability were observed, so gastroduodenal artery embolization was performed urgently. Under local anesthesia, the left femoral artery was accessed through the left femoral artery, cannulated to the celiac artery and gastroduodenal artery according to the Seldinger maneuver, and 20 ml of Uvexan was pushed at 5 ml/s. A local spillage of contrast agent was seen into the duodenum, which was embolized with a 5×50mm spring steel ring. The patient did not have any further black stool after the procedure. Gastroscopy was repeated 9 days after embolization and the duodenal ulcer had basically healed. The patient was discharged from the hospital and was advised to continue taking oral acid suppressants. After one month, the ulcer was completely healed. Case 3 Male, 44 years old. He had a history of chronic hepatitis B for 11 years. He was seen in a primary hospital for 8 hours for sudden pain in the epigastrium. Ultrasound showed a 4.5cm×4.0cm hypoechoic mass in the right lobe of the liver, and the rest of the liver showed chronic liver disease changes with a large amount of fluid dark areas in the abdominal cavity. During the consultation, the patient’s abdominal distension increased, blood pressure progressively decreased, and shock manifestations such as weak pulse and irritability appeared. Preliminary diagnosis: primary hepatocellular carcinoma rupture and bleeding. Emergency hepatic artery embolization was performed. The left femoral artery was punctured under local anesthesia and cannulated to the celiac artery, common hepatic artery and hepatic artery according to the Seldinger technique. On the second day, the abdominal distension was still heavy, so laparotomy was performed and carboplatin 200mg was injected to kill the tumor cells implanted in the abdominal cavity. After hepatoprotection and other treatments, ascites rapidly subsided. Spiral CT showed that the right lobe of the liver had a round-like hypodense foci with uneven internal density, slightly dense hemorrhagic foci, and strips of high-density shadow were seen at the hepatic hilum. The diagnosis was primary hepatocellular carcinoma. Later, he was transferred to this system hospital for surgery and lobectomy was performed. The patient was later lost to follow-up. 2. Discussion In recent years, with the development of modern imaging and the advancement of techniques and level of monitoring of critically ill patients, non-surgical treatment methods have received increasing attention. For the three cases of hemorrhagic surgical diseases in this paper, surgical methods were commonly used for treatment in the past, but there were many unfavorable factors, such as case 1 had been operated twice and was still bleeding, and another operation was fatal, case 2 and case 3 were in shock and had cardiac or liver insufficiency, which made surgery risky, so interventional treatment became more advantageous at this time. 2.1 Significance of arteriography: After surgery and hemorrhagic shock, it is extremely risky to operate again to stop the bleeding, and it is difficult to determine whether there is bleeding from other parts of the body. Selective arteriography has qualitative and local diagnostic value. Contrast spillage can be demonstrated when the bleeding volume is ≥0.5 to 1.0 ml/min. Contrast spillage is the most reliable sign of hemorrhage, so selective arteriography is the most reliable and effective test for the diagnosis of hemorrhage. 2.2 Significance of arterial embolization therapy and analysis of advantages and disadvantages: hepatic artery embolization applied to hepatic rupture has been reported in a small number of foreign countries in recent years [1], but little has been introduced in China. It is generally believed that for arterial hemorrhage in hepatic rupture, embolization therapy is meaningful, and its advantages are simplicity and safety, small trauma, and quick effect. Due to the dual blood supply to the liver and the fact that only hemihepatic embolization is performed, it is less likely to cause hepatic insufficiency or failure. In case 1, where surgical hemostasis failed and the patient was in shock again, hepatic artery embolization for hemostasis may be the only correct option. Case 3 was diagnosed as primary hepatocellular carcinoma, and 95% of the blood supply of hepatic malignancy is supplied by arteries, which provides a theoretical basis for arterial embolization for hemostasis. While case 2 has a clear indication for surgery, the patient is in a stressful state due to repeated massive bleeding, and the surgical risk is high. Since the patient has been clearly diagnosed and his bleeding often comes from the branches of the superior pancreaticoduodenal artery or gastroduodenal artery, embolization of the relevant vessels can receive good results.