总结1例Ⅱ型Abernethy畸形合并肺动脉高压患者行肝移植术后静脉-动脉体外膜肺氧合（veno-arterial extracorporeal membrane oxygenation，VA-ECMO）护理体会。护理要点：围绕肝移植术后肺动脉高压病理生理特点，镇痛镇静的器官保护作用；靶向药物联合ECMO降低肺动脉压、改善右心功能；ECMO运转期间氧合监测与抗凝管理、下肢缺血等并发症的防控；个体化液体治疗避免新肝再灌注综合征。经过精细化护理团队在内的多学科协作，患者顺利康复出院。

To summarize the nursing experience associated with managing a patient diagnosed with type II Abernethy malformation complicated with pulmonary hypertension，who underwent liver transplantation followed by veno-arterial extracorporeal membrane oxygenation（VA-ECMO）. Based on the pathological and physiological characteristics of pulmonary hypertension following liver transplantation，analgesia and sedation was adopted to protect the organs. The targeted medications in conjunction with ECMO was used to reduce pulmonary artery pressure and improve right heart function. Monitoring oxygenation during ECMO operation along with anticoagulation management and prevention of complications such as lower limb ischemia，individualized fluid therapy to avoid new liver reperfusion syndrome were also implemented. Through meticulous nursing care and multidisciplinary collaboration，the patient successfully recovered and was discharged.