Abstract:

To summarize the nursing care of a patient with fatal pulmonary thromboembolism undergoing extracorporeal membrane oxygenation under high bleeding risk. Key points of care included bleeding risk management during extracorporeal membrane oxygenation in periods of high bleeding risk. Observation and nursing during the period of low anticoagulation included the implementation and nursing of individualized low anticoagulation program，emergency nursing strategy for insufficient extracorporeal membrane drainage caused by small thrombus，and keeping the distal perfusion tube of lower limb open in the state of high coagulation to avoid lower limb ischemia. And the observation and nursing after percutaneous pulmonary embolectomy with extracorporeal membrane lung support was implemented. After active rescue，careful treatment and nursing，the patient improved and was discharged from the hospital. During the follow-up，the patient recovered well.

Key words: Acute Pulmonary Embolism, Extracorporeal Membrane Oxygenation, Hemorrhage, Critical Care Nursing