Objective To explore care strategy of pulmonary hemorrhage in children except neonates. Methods Clinical features and nursing experience were summarized in 14 children with pulmonary hemorrhage respectively who admitted to the pediatric intensive medicine between January 2013 and December 2013. Results 14 children (9 boys and 5 girls) were diagnosed with pulmonary hemorrhage. The ages ranged from 1 month to 11 years. The reasons were traumatic factors in 4 cases, non-traumatic in 10 cases. Leukemia (5 children) was the first reason of pulmonary hemorrhage. Closed tracheal suction catheter were used in all of patients. No respiratory tract obstruction, ventilator-associated pneumonia and hypostatic pneumonia were found. All of children were prescribed continuous intravenous midazolam and fentanyl, children improved had no uncomfortable memories on invasive operations. 4 cases with traumatic pulmonary hemorrhage had a complete recovery. 2 cases were improved and 8 cases died with non-traumatic pulmonary hemorrhage. Conclusion If the respiratory tract can be kept unobstructed, sputum suction should be reduced to minimum. When the conditions of children with pulmonary hemorrhage were improved, turning should be done as soon as possible, which was helpful to prevent hypostatic pneumonia. The combination of midazolam and fentanyl showed effective and safe sedation.