目的　探讨影响重症监护脑梗死患者死亡的相关危险因素。方法　回顾性分析 2 0 0 1年 1月至 2 0 0 3年 1月住我院神经科重症监护室 (NICU) 1 32例脑梗死患者的年龄、糖尿病史、感染、意识状况、低蛋白血症及入院时白细胞计数、血糖等因素 ,并行多项逐步Logistic回归分析。结果　 1 32例患者院内死亡 6 0例 ,死亡率为 4 5 .4 %。最终进入Logistic回归模型的因素有入院时白细胞计数、意识状况及低蛋白血症。 结论　入院白细胞计数、意识状况及低蛋白血症是重症监护脑梗死患者死亡的重要危险因素 ,临床应加强对低蛋白血症的监测和治疗 Objective To explore the related risk factors affecting the death of patients with intensive care cerebral infarction. Methods A retrospective analysis was conducted between January 2001 and January 2003 in our department of neurology intensive care unit (NICU) of 32 cases of cerebral infarction patients with age, history of diabetes, infection, consciousness, hypoproteinemia Symptoms and admission white blood cell count, blood glucose and other factors, in parallel with a number of stepwise Logistic regression analysis. Results One hundred and thirty-two patients died of in-hospital 60 cases with a mortality rate of 45.4%. Factors that eventually entered the Logistic regression model were white blood cell count, consciousness, and hypoproteinemia on admission. Conclusion Admission white blood cell count, consciousness status and hypoproteinemia are important risk factors for mortality in patients with intensive care cerebral infarction. Clinical monitoring and treatment of hypoalbuminemia should be strengthened