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探讨急性脑血管病（ＡＣＶＤ）并发多器官功能衰竭（ＭＯＦ）的发病机制与预后，动态检测１６７例ＡＣＶＤ患者与６１例健康老年人的下丘脑垂体甲状腺轴功能。结果：①ＡＣＶＤ时出现下丘脑垂体甲状腺轴功能紊乱。②单纯ＡＣＶＤ时，轴功能紊乱呈一过性，病程在１周内变化最显著，２周后逐渐恢复正常。③如下丘脑垂体甲状腺轴功能持续紊乱，提示病情重、预后较差，可能并发ＭＯＦ。提示：促甲状腺激素、三碘甲腺原氨酸和甲状腺素水平是判断ＡＣＶＤ病情、病变部位、性质及是否可能并发ＭＯＦ的实验指标。
To investigate the pathogenesis and prognosis of acute cerebrovascular disease (ACVD) complicated with multiple organ failure (MOF) and to investigate the function of hypothalamus pituitary thyroid axis in 167 patients with ACVD and 61 healthy controls. Results: ① ACVD hypopituitarism thyroid axis dysfunction. ② ACVD alone, the axial dysfunction was transient, the course of change in the most significant change within 1 week, 2 weeks after the return to normal. ③ following hypothalamus pituitary thyroid axis function continued disorder, suggesting that the disease is heavy, the prognosis is poor, may be complicated by MOF. TIP: Thyroid stimulating hormone, triiodothyronine and thyroxine levels are the experimental indicators to judge the condition of ACVD, the location and nature of the lesion, and the possibility of concurrent MOF.