总结了经CT确诊的老年人中风合并多器官衰竭130例。死亡105例为80.8%,存活25例为19.2%。多器官衰竭的多发和首发器官以脑、呼吸及心血管为最多,死亡病例器官衰竭的数目除脑衰外均在3个以上。老年人各器官功能衰退和免疫功能低下、中风时脑水肿对下丘脑和脑干植物神经中枢损害等因素的相互作用,是发生多器官衰竭的主要原因。密切监测重要器官功能变化,有效降颅压,及时作气管切开等综合治疗,是减少病死率的关键 Summarized 130 elderly patients diagnosed with stroke complicated by multiple organ failure. The death rate was 80.8% in 105 cases and 19.2% in 25 cases. Multiple organ failure and the first organ in the brain, respiratory and cardiovascular as the most, the number of cases of organ failure death except in the brain are more than three outside. Degradation of organ function and immune dysfunction in the elderly, brain edema in stroke on the hypothalamus and brain stem autonomic center and other factors damage the interaction is the main reason for the occurrence of multiple organ failure. Close monitoring of important organ function changes, effective reduction of intracranial pressure, timely tracheostomy and other comprehensive treatment is the key to reducing mortality