目的:探讨射频消融(RFA)治疗肝穿刺后出血的诊断和治疗方法。方法:回顾性分析1例超声引导下射频消融治疗肝穿刺后出血的临床资料,并复习相关文献。结果:肝穿刺后出血经血常规及腹部彩超检查诊断明确,保守治疗无效,采用床旁超声引导下射频消融凝固治疗,出血得到控制。结论:肝穿刺后出血临床少见,血常规及腹部彩超检查有助于诊断。超声引导下射频消融为有效的治疗手段。 Objective: To investigate the diagnosis and treatment of hemorrhage after radiofrequency ablation (RFA) for liver puncture. Methods: A retrospective analysis of 1 case of ultrasound-guided radiofrequency ablation of liver bleeding after clinical data, and review the relevant literature. Results: Hepatic puncture after bleeding by blood and abdominal ultrasonography diagnosis is clear, conservative treatment is invalid, the use of bedside ultrasound guided radiofrequency ablation and coagulation therapy, bleeding control. Conclusion: Hepatic bleeding after bleeding is rare, blood tests and abdominal ultrasonography can help diagnose. Ultrasound-guided radiofrequency ablation as an effective treatment.