总结1例胸腰椎巨大肿瘤致多脏器移位患者术后并发腹腔大出血的护理经验。护理要点包括组建多学科护理团队，开展序贯化管理；落实缺损膈肌保护策略，警惕膈疝形成；加强腹腔出血处理与再出血的预防；以腹内压控制为导向的肠内营养管理与改善乳糜漏症状；加强输尿管及肾动脉修补术后管理，预防肾功能损伤；依托“一院两区，一体同质”闭环管理模式，提升患者疾病康复质量。经过积极治疗和精心护理81 d后，患者病情平稳出院，随访3个月，患者日常生活基本自理。

To summarize the nursing management in a case of postoperative massive abdominal hemorrhage in a patient with multiorgan displacement due to a giant thoracolumbar tumor.Key points of nursing included the establishment of multidisciplinary nursing team，the development of sequential management，the protection strategy of the defective diaphragm to prevent the formation of diaphragmatic hernia，strengthening the management of abdominal bleeding and prevention of rebleeding，enteral nutrition management guided by intra-abdominal pressure control and improvement of chylous leakage symptoms，strengthening the management of ureteral and renal artery repair to prevent renal function injury，relying on the closed-loop management model of “one hospital，integrating two homogeneous medical campuses” to improve the quality of patient rehabilitation.After active treatment and careful nursing for 81 days，the patient’s condition was stable and discharged from the hospital.The patient was followed up for 3 months，and basically able to take care of daliy living activities independently.

R472.2;R473.73;R823

海军军医大学第二附属医院第十届护理科研基金（CZYY-HLMS1007）