bjective To boost the recovery of cardiac function of patients with constrictive pericarditis receiving pericardiectomy. Methods Concerning the postoperative clinical manifestations of cardiac insufficiency, acute heart failure and difficult weaning, 33 patients with constrictive pericarditis who underwent pericardiectomy were treated with management strategies, including fine management of intake and output, rational use of inotropic agents and mechanical devices,maintenance of airway patency, and strengthening of nursing rescue and cooperation for acute cardiac insufficiency. Results There were 12 cases of right heart dysfunction, 10 cases of low cardiac output syndrome and 4 cases of reintubation. The mechanical ventilator service time of the patients was 4-943 h (median 45 h) and the ICU stay time was 1-42 d (median 4 d). After meticulous treatment and nursing, 31 patients reco-vered and were discharged and 2 patients were automatically transferred to another hospital due to serious complications after re-cardiac surgery. Conclusion Patients with constrictive pericarditis may develop cardiac insufficiency, after pericardietomy. Implementing comprehensive nursing care is beneficial to recovery of patients′ cardiac function.