总结1例肺移植术后患者因急性右侧髂动脉血栓形成导致肢体缺血的护理体会。针对患者病情复杂、循环不稳定及活动耐力差等问题，采取肺移植术后急性肢体缺血的早期预警，平衡抗凝机制做好髂动脉取血栓术后护理，快速启动心律失常急救，落实多元化康复训练，促进肠功能恢复等措施。经过多学科团队救治和精细化护理，患者肺移植术后第42天从监护室转入普通病房。随访2个月，状况良好。

To summarize the nursing experience of a patient with acute limb ischemia due to acute right iliac artery thrombosis after lung transplantation. In view of the problems of complex conditions，circulation instability and poor activity endurance of patients，early warning of acute limb ischemia after lung transplantation was adopted，interventional postoperative care was balanced with anticoagulation mechanism，first aid for arrhythmia was quickly started，diversified rehabilitation training was implemented，intestinal function recovery was promoted. After the treatment and meticulous care of the multidisciplinary team，the patient was transferred from the intensive care unit to the general ward 42 days after lung transplantation. After 2 months of follow-up，he was in good condition.