总结1例以脑梗死为首发症状的卵巢癌患者围手术期护理体会。 针对患者病情危重复杂，围手术期易诱发血栓和出血，术后并发症风险增加，患者心理康复、肢体康复等问题，组建多学科合作团队全程管理；术前充分评估病情，制订护理计划；做好桥接抗凝期间用药护理；积极预防肺栓塞及新发脑梗死；采用中药灌肠法预防术后肠梗阻；鼓励家属参与患者心理护理，促进康复。通过积极治疗和护理，患者于术后第9天顺利出院。术后随访6个月，恢复 良好。

To summarize the perioperative nursing experience of a patient with ovarian cancer with cerebral in- farction as the first symptom. In view of the patient’s critical and complex condition，being prone to thrombosis and bleeding during perioperative period，the increasing risk of postoperative complications，the patient’s psychological re- habilitation，limbs rehabilitation and other problems，the establishment of a multidisciplinary cooperation team was adopted to manage the whole process. We fully assessed the condition before surgery and formulated a nursing plan，did a good job of medication care during bridging anticoagulation，actively prevented pulmonary embolism and new cerebral infarction，used traditional Chinese medicine enema method to prevent postoperative intestinal obstruc- tion，encourage family members to participate in patient psychological care to promote recovery. Through active treatment and nursing，the patient was discharged from the hospital on the 9th day after surgery. After 6 months of follow-up，the recovery was good.