Abstract:

To summarize the nursing experience of a patient with severe pulmonary hypertension complicated with giant heart after lung transplantation. Key nursing points：to set up volume management measures in stages to avoid hemodynamic disorders；to monitor cardiac function closely and be alert to the occurrence of low cardiac output syndrome；to closely observe heart rate and heart rhythm to correct arrhythmia as soon as possible；the sequential ventilation strategy was adopted to promote the recovery of lung function. Progressive implementation of individual rehabilitation was conducted，and the patient activity tolerance was improved. After careful treatment and nursing，the patient was successfully transferred to the general ward 29 days after surgery，recovered from the hospital 41 days after surgery，followed up for 6 months，and recovered well.

Key words: Severe Pulmonary Hypertension, Lung Transplantation, Arrhythmia, Nursing Care

摘要：

总结1例重度肺动脉高压合并巨大心脏患者行肺移植术后的护理体会。护理要点：分阶段制订容量管理措施，避免血流动力学紊乱；密切监测心功能，警惕低心排综合征的发生；严密观察心率及心律，尽早纠正心律失常；采用序贯式通气策略，促进肺功能恢复；渐进式实施个体化康复，提升患者活动耐受度。经过精心的治疗和护理，患者术后29 d顺利转入普通病房，术后41 d康复出院，随访6个月，恢复良好。

关键词: 重度肺动脉高压, 肺移植, 心律失常, 护理