总结1例胎龄23⁺¹周生存极限早产儿支气管肺发育不良合并先天性肺大疱的护理体会。针对患儿超早产、低体重、肺部条件差、手术风险极高等问题，采用个体化气道护理；避免非计划性拔管；制订肺大疱抢救流程；重视胸腔闭式引流护理；动态监测感染指标；实施家庭参与式照护等护理措施。患儿住院158 d后呼吸平稳、喂养耐受，顺利出院。现随访至8+月，患儿体重增至8.9 kg，正逐步追赶生长，一般状况良好。

To summarize the nursing experience of a premature infant with bronchopulmonary dysplasia and congenital pulmonary bullae at a gestational age of 23⁺¹ week with a survival limit. In response to the infant with extremely premature birth，low body weight，poor lung conditions and extremely high surgical risks，key points of nursing care included individualized airway care，avoiding unplanned extubation，formulation of the rescue process for pulmonary bullae，attaching importance to the nursing of closed thoracic drainage，dynamic monitoring of infection indicators，implementation of family integrated care and other nursing measures. The infant was discharged from the hospital smoothly after 158 days of hospitalization，with stable breathing and feeding tolerance. She has been followed up for more than 8 months. Her weight has increased to 8.9 kg and she was gradually catching up. Her general condition was good.