报告一例左侧颈内动脉闭塞合并脑梗死、脑动脉硬化患者在数字减影血管造影（digital subtraction angiography，DSA）引导下行"颈内动脉内膜剥脱+球囊取栓+动脉成形术"中的护理，护理重点包括物品准备、体位管理、生命体征观察、指标监测、管路管理、体温管理、手术配合及患者心理护理等。患者手术完成后转入ICU进行监测治疗，2 d后转入普通病房，术后10 d顺利出院。颈动脉内膜剥脱术是防治缺血性卒中有效的措施之一，良好的围手术期护理有助于减少手术并发症，提高手术疗效，使患者获益。

This paper reports the nursing care of a patient with left internal carotid artery occlusion complicated with cerebral infarction and cerebral arteriosclerosis underwent digital subtraction angiography (DSA) guided "internal carotid endarterectomy plus balloon thrombectomy plus arterioplasty". The nursing care focuses on preparation of articles, posture management, vital signs observation, index monitoring, pipeline management, body temperature management, operation cooperation and patient psychological care. The patient was transferred to ICU 11 hours after operation, and to the general ward 2 days later, and was discharged smoothly 10 days after operation. Carotid endarterectomy is one of the effective measures to prevent and treat ischemic stroke. Good perioperative nursing is helpful to reduce surgical complications, improve surgical efficacy and benefit patients.