总结1例极重度肥胖肺栓塞患者的多学科协作护理体会。针对患者极重度肥胖、病情进展迅速、气管插管拔管困难等问题，采取建立多学科小组、积极治疗原发病、渐进式抗阻训练、实施个性化营养方案、延续性心理护理等措施。患者在第18天拔除气管插管，减重30 kg，营养状况良好，活动耐力好转，入院第31天康复出院。随访2个月，恢复良好。

To summarize the pulmonary rehabilitation nursing experience of a patient with extremely severe obesity and pulmonary embolism. The patient presented with multiple challenges，including extreme obesity，rapid disease progression，and difficulties with endotracheal intubation and extubation. A comprehensive approach was adopted to address these issues，which included the establishment of a multidisciplinary team，active management of the underlying disease，progressive resistance training，a personalized nutritional plan，and continuous psychological support. On day 18，the patient successfully underwent extubation，having lost 30 kg during hospitalization. The patient’s nutritional status was well-maintained，and improvements in physical endurance were noted. The patient was discharged on day 31 following recovery，and the follow-up of two months confirmed satisfactory recovery.