总结1例自伤性心脏破裂伤伴左侧血气胸患者的术后护理经验。护理要点包括：合理镇痛下实施呼吸道净化护理促进肺康复；个体化心理护理改善患者情绪，避免再次自伤；白噪声联合本森放松疗法，改善睡眠预防ICU综合征；阶梯式心肺康复训练，重塑心肺功能；ICU延续护理。经过7 d的治疗和护理，患者病情稳定，转至胸外科继续治疗，住院14 d后康复出院。随访至术后3个月，患者状态良好。

To summarize the postoperative nursing experience of a patient with self-inflicted cardiac rupture and left hemopneumothorax.Key nursing points included:respiratory purification care under appropriate analgesia to promote pulmonary rehabilitation;individualized psychological care to improve the patient’s mood and prevent self-injury;white noise combined with Benson relaxation therapy to improve sleep and prevent ICU syndrome;a stepwise cardiopulmonary rehabilitation training program to restore cardiopulmonary function;and ICU follow-up care.After 7 days of treatment and nursing,the patient’s condition stabilized,and he was transferred to the department of thoracic surgery for continued treatment.The patient was discharged after 14 days of hospitalization with full recovery.The follow-up 3 months after the surgery showed the patient was in good condition.

R472.2;R823

上海市卫生健康委员会科研项目（202040167）；上海市浦东新区卫生健康委员会优秀青年医学人才培养计划项目（PWRq2021-23）；海军军医大学精品课程建设项目（护理心理学）