总结1例出生胎龄23⁺²周，出生体重500 g的超早产儿因自发性肠穿孔术后并发重度皮肤损伤的护理体会。针对术后创面大量渗血、皮肤损伤面积大、护理经验缺乏等问题，组建多学科个案管理小组，制订创面管理流程；实施换药前后疼痛评估与管理；严格执行感染预防措施。经过29 d综合治疗和护理，患儿创面基本愈合，未发生继发感染，住院198 d后顺利出院。

To summarize the nursing experience of an extremely preterm infant born at 23+2 weeks with a birth weight of 500 grams who developed severe skin injury following surgery for spontaneous intestinal perforation. In response to challenges including postoperative wound exudation and hemorrhage，extensive skin injury，and lack of nursing experience，a multidisciplinary case management team was established to develop a wound care protocol，implement pre- and post-dressing pain assessments and management，implement strictly infection prevention measures. After 29 days of careful treatment and nursing care，the infant’s wounds achieved primary healing with no secondary infections. The infant was successfully discharged after 198 days of hospitalization.