Abstract:

To summarize the nursing experience of a patient with chronic heart failure complicated with achalasia. The main nursing points were as follows：stabilizing electrolyte to correct malignant arrhythmia；providing stepped nutritional support based on swallowing function rating to improve nutritional status；acapella technology combined with micro-positive pressure high-flow oxygen therapy for airway clearance to control lung infection；implementing the whole process of psychological counseling to improve treatment confidence and compliance；formulating a systematic discharge preparation service plan to ensure continuous care. After careful care assisted by a multidisciplinary team，the patient was discharged smoothly after 13 days of hospitalization，followed up for 3 months，and recovered well.

Key words: Heart Failure, Achalasia of Cardia, Nutrition, Airway Clearance, Nursing Care

摘要：

总结1例慢性心力衰竭合并贲门失弛缓症患者的护理经验。护理要点：监测电解质水平，纠正恶性心律失常；实施阶梯式营养支持，改善营养状况；采用呼气正压治疗技术联合微正压高流量氧疗进行气道廓清，控制肺部感染；落实全程心理疏导，提升治疗信心及依从性；制订系统化出院准备服务计划，确保延续性护理。经过多学科团队的精心护理，患者住院13 d顺利出院，随访3个月，恢复良好。

关键词: 心力衰竭, 贲门失弛缓症, 营养, 气道廓清, 护理