总结1例Ⅲ（b）型食管闭锁伴肺动脉高压早产儿胸腔镜下辅助治疗的围手术期护理体会。护理要点：术前保持呼吸道通畅，维持心功能稳定，避免低氧血症；术后加强气道管理和脱氧训练，预防吻合口瘘，维持体循环压力，重视肠内外营养支持；出院后实施家庭赋权护理提升照护者照护能力。经积极治疗与精细化护理，患儿顺利出院，随访结果满意。

To summarize the perioperative nursing care of a premature infant with type Ⅲb esophageal atresia and pulmonary hypertension treated with thoracoscopic assistance. The key points of the perioperative nursing care were as follows：maintaining a patent airway，maintaining stable cardiac function，avoiding hypoxemia before the surgery；strengthening airway management，developing an deoxygenation training plan，preventing anastomotic fistula，maintaining systemic blood pressure，paying attention to enteral and parenteral nutritional support after the surgery；implementing family-empowerment nursing to enhance the caregiver’s ability after discharge. After active treatment and meticulous nursing care，the infant’s condition stabilized and she was discharged in good health. The follow-up results were satisfactory.