总结1例马拉松比赛诱发的劳力型热射病并发多器官功能衰竭，同时合并右肘部肘后外侧侵袭性曲霉菌感染患者的护理体会。针对患者多器官功能衰竭、感染严重、营养代谢异常及心理适应障碍等复杂问题，采取动脉压、静脉压、跨膜压等压力值动态监测，体外局部抗凝等措施，维持生命支持，保护肝肾功能；做好切口敷料选择、负压引流压力控制等，减少感染扩散风险并加速愈合；提供精细化营养支持，满足机体特殊营养需求；开展针对性心理干预，减轻创伤后应激反应。经过39 d个性化的治疗和护理，患者康复出院。出院后随访1周，患者状况良好。

To summarize the nursing experience of a patient with exertional heat stroke induced by a marathon race and complicated with multiple organ failure，as well as invasive aspergillosis infection on the posterior lateral side of the right elbow. To address complex issues such as multiple organ failure，severe infections，nutritional and metabolic abnormalities，and psychological adaptation disorders in the patient，measures such as dynamic monitoring of pressure values such as arterial pressure，venous pressure，and transmembrane pressure，as well as local anticoagulation in vitro，were taken to maintain life support and protect liver and kidney function. We chose appropriate incision dressings，controlled negative pressure drainage pressure，etc.，to reduce the risk of infection spread and accelerate healing. We provided refined nutritional support to meet the special nutritional needs of the body and carried out targeted psychological interventions to alleviate post-traumatic stress reactions. After 39 days of personalized treatment and care，the patient recovered and was discharged. After one week follow-up after discharge，the patient’s condition was good.