关键词: 肺移植, 体外膜肺氧合, 围手术期护理, 康复护理

Abstract:

This study summarizes the nursing experience of 11 patients undergoing extracorporeal membrane oxygenation（ECMO） bridging for double lung transplantation. Key nursing strategies included：muscle strength risk stratification management with early functional exercises，dynamic monitoring of diaphragmatic function with stepwise mechanical ventilation weaning，early screening of swallowing function with progressive rehabilitation training，tissue perfusion monitoring with comprehensive protection against acute skin failure，psychological intervention for trauma patients along with self-identity reconstruction，and staged follow-up management with continuous rehabilitation guidance. Through meticulous nursing care，all patients were successfully transferred out of the ICU. 2 patients were readmitted to the ICU on days 125 and 48 after being transferred out and ultimately died，and 9 patients recovered and were discharged. During follow-up，a patient died from pulmonary infection，and the remaining 8 patients were followed up for 2~9 months postoperatively，with normal pulmonary function and restored daily living abilities.

Key words: Lung Transplantation, Extracorporeal Membrane Oxygenation, Perioperative Nursing, Rehabilitation Nursing