Abstract: Objective To explore the approaches for early diagnosis and effective management of closed abdominal injures. Methods The experience in diagnosis and management of 246 cases of closed abdominal injuries was analyzed. Results Of the 246 patients treated in the past 5 years, 221 underwent exploratory laparotomy and 25 received conservative treatment. Altogether 235 patients (95.53%) were cured and 11 died (4.47%). Conclusion Systemic physical examination and early diagnoseis are crucial for successful management of closed abdominal injuries. Surgeons should be aware of the importance of early-stage anti-shock treatment and timely surgical management, and the indications and procedures for exploratory, laparotomy should be strictly followed.