分析了急性脑血管病并发多器官衰竭(MOF)患者31例.结果提示,受累器官按其多发顺序依次为脑、肺、心、胃、肾、肝;每例出现MOF前患有慢性疾病平均1.8种,衰竭器官平均3.2个,以3～4个器官受累最多,占77.4%,病死率83.87%.发病的主要诱因为脑疝、肺部感染、泌尿系感染、电解质紊乱及高热等.讨论了老年急性脑血管病并发MOF的临床特点、预后及预防治疗等. 31 patients with acute cerebrovascular disease complicated with multiple organ failure (MOF) were analyzed.The results showed that the affected organs were brain, lung, heart, stomach, kidney and liver in order of their multiple occurrences 1.8 species, the average number of failing organs was 3.2, accounting for 77.4%, the mortality rate was 83.87%. The main causes of morbidity were hernia, pulmonary infection, urinary tract infection, electrolyte imbalance and hyperthermia. The elderly patients with acute cerebrovascular disease complicated with MOF clinical features, prognosis and prevention and treatment.