Abstract:

To summarize the nursing experience of a patient with pulmonary hypertension and pulmonary pseudoaneurysm rupture causing massive hemoptysis transitioning to lung transplantation. The key points of nursing care include：implementing the individualized airway management measures to promote the recovery of lung function；carrying out dynamic goal-directed volume management for right heart failure；providing early warning of coagulation risks to prevent postoperative rebleeding and thrombosis；actively controlling the infection to ensure the successful implementation of bilateral lung transplantation. After meticulous treatment and nursing care，the patient successfully underwent bilateral lung transplantation on postoperative day 17 following right middle lobectomy and was discharged 40 days post-transplantation.

Key words: Pulmonary Artery Pseudoaneurysms, Pulmonary Hypertension, Hemoptysis, Lung Transplantation, Critical Care

摘要：

总结1例肺动脉高压合并肺假性动脉瘤破裂致大咯血患者过渡至肺移植的护理经验。护理要点：落实个体化气道管理措施，促进肺功能恢复；实施动态目标导向容量管理，警惕右心功能衰竭；做好出凝血风险预警，防止术后再出血及血栓形成；积极控制感染，保障双肺移植成功实施。经过精心的治疗与护理，患者于右肺中叶切除术后第17天成功实施双肺移植术，移植术后40 d顺利出院。

关键词: 肺动脉假性动脉瘤, 肺动脉高压, 咯血, 肺移植, 重症护理