As an important public travel mode, urban rail transit has the characteristics of crowded passengers and closed operation. Safe management of urban rail transit is an important research topic that attracted attention in recent years. This article proposes a decision analysis method based on case-based reasoning, which aims to solve the emergency response problems for the prevention and control of corona virus disease 2019 (COVID-19) in urban rail transit. In this method, first, the historical cases are extracted and filtered by calculating the similarity between the target case and the historical case. A set of similar historical cases is constructed by setting the similarity threshold in advance. Second, comprehensive utility value of emergency response of each similar case is calculated referring to the utility evaluation of emergency response effect and response cost of each similar historical case. On this basis, the emergency plan of the target case is generated by selecting the emergency plans of the similar historical cases corresponding to the maximum comprehensive utility values of the emergency responses. Finally, with the emergency responses of COVID-19 in Tianjin rail transit as the background, this paper explains the feasibility and effectiveness of the proposed method within a case study.