The nursing experience of a pregnant woman with ruptured cerebellar arteriovenous malformation and hemorrhage with consciousness disorder at 20⁺ weeks of pregnancy was summarized. The key points of nursing include：postoperative management of pregnancy combined with brain arteriovenous malformation composite surgery，nursing management of hypothermia treatment in the second pregnancy，the safety of patients and fetus and the whole prevention of complications；early rehabilitation training in stages，and postpartum management based on the recovery of neurological function. Through careful and professional treatment and nursing，the patient had a good prognosis，and was transferred to the rehabilitation department to continue rehabilitation treatment.

The nursing experience of long-term maintenance hemodialysis in a patient with rare and life-threatening calciphylaxis for more than 12 years was summarized. Nursing points include preoperative dietary care,implementation of an individualized hemodialysis nursing program,postoperative wound care,pain management,drug treatment,nutritional support,individualized calciphylaxis preventive care of end stage renal disease（ESRD） patients,etc. under the multidisciplinary approach. During the hospitalization,the patient underwent 2 operations,which lasted 25 days. The right upper limb recovered well and the patient was discharged. Dressing was regularly changed in wound stomy clinic and the wound healed completely.

Objective To construct a hierarchical management scheme for physical restraint in the neurosurgery ICU patients and discuss its application effect. Methods Through the establishment of a project team,literature search and related issues discussion,a hierarchical management scheme for physical restraint in the neurosurgery ICU patients was developed. Using the convenience sampling method,304 patients admitted to the neurosurgery ICU of a tertiary first-class hospital in Beijing from April to September 2019 were selected,and they were divided into an experimental group with 156 cases and a control group with 148 cases according to admission time.The experimental group adopts a physical restraint hierarchical management plan,and the control group adopts the department's routine physical restraint nursing measures. The body restraint rate,average restraint time,restraint intensity,incidence of delirium,unplanned extubation,and the incidence of skin abnormalities at the restraint were compared between the 2 groups. Results After the intervention,the physical restraint rate,average restraint time,restraint intensity,and incidence of delirium in the experimental group were lower than those in the control group（P<0.05）;there were no unplanned extubation and skin abnormalities and other restraint-related complications in the 2 groups. Conclusion The graded management scheme for physical restraint in the neurosurgery ICU patients can significantly reduce the rate of physical restraint,shorten restraint time,reduce restraint intensity,and reduce the incidence of delirium,providing a basis for standardizing the use of physical restraint for neurosurgery ICU patients.