总结1例轴流泵左心室辅助装置植入患儿桥接至心脏移植的护理经验。针对国内首次使用适配于低体重患儿的轴流泵左心室辅助装置，缺乏可借鉴的治疗护理经验，该院组建了多学科救治团队，共同参与术后评估与管理；依据患儿体表面积及理想心排血量范围，精准设置并动态调整血泵转速；通过观察脉压变化，结合血泵运行及患儿情况，综合判断心功能恢复趋势；血泵转速不变的情况下，观察功率短时间内波动超过2 W，预示血管通路血栓形成或脱落的可能；针对轴流泵对红细胞破坏较多、机体抗凝系统反应性激活的特点，采取目标导向抗凝；根据家庭实际情况，通过媒体报道，动员社会力量参与救治，使患儿成功桥接至心脏移植。

This report summarized the nursing experience of a pediatric patient who underwent implantation of an axial-flow left ventricular assist device（LVAD） as a bridge to heart transplantation. As the first domestic application of an axial-flow LVAD specifically designed for low-weight children，due to the absence of prior therapeutic and nursing references. A multidisciplinary care team was established to provide comprehensive postoperative evaluation and management. Pump speed was precisely set and dynamically adjusted according to the patient’s body surface area and target cardiac output. Trends in cardiac function recovery were assessed by monitoring pulse pressure changes alongside circulatory parameters and patient’s condition. Notably，when pump speed remained constant，a transient increase in power exceeding 2W suggested the possibility of thrombus formation or embolization in the circuit. Given the characteristics of axial flow pumps causing significant red blood cell damage and reactive activation of the body’s anticoagulation system，a goal-directed anticoagulation strategy was adopted. Based on the family’s specific circumstances，media reports were utilized to mobilize social support for the child’s treatment，successfully bridging the case to a heart transplant.