本文报告慢性肺心病并发多脏器衰竭78例,死亡30例,病死率为38.5％。肺心以外脏器以脑受累率最高,以胃受累死亡率最高。发生2脏器衰竭的病死率为22.9%脏器衰竭的病死率为42.8％,4个或4个以上脏器衰竭的病死率为77.8％。2脏器衰竭与3脏器以上衰竭病死率相差非常显著(P<0.01)。并对发病原因及其防治进行了讨论。 This paper reports 78 cases of chronic pulmonary heart failure complicated with multiple organ failure, 30 deaths, the mortality rate was 38.5%. Extrapulmonary heart organ involvement in the highest rate of brain involvement in the highest mortality. The fatality rate for 2 organ failure was 22.9% for organ failure and 42.8% for 4 or more organ failure cases, with a mortality rate of 77.8%. 2 organ failure and 3 organ failure mortality difference is very significant (P <0.01). The cause of the disease and its prevention were discussed.