本文分析了20例老年人脑梗死合并多器官衰竭（MOFE）患者临床特点：（1）发病前平均患有3．1种慢性疾病；（2）60％患有2次以上脑梗塞，在诱发MOFE的因素中，主要是肺部感染、脑梗死复发、皮肤感染，（3）首发及多发衰竭器官以心血管、胃、肾脏多见。认为治疗以预防为主，应注意；（1）预防感染；（2）预防脑血管病复发；（3）防止应激性溃疡；（4）合理用药。 This article analyzes the clinical features of 20 elderly patients with cerebral infarction complicated with multiple organ failure (MOFE): (1) an average of 3.1 chronic diseases before onset; (2) 60% of patients with more than 2 cerebral infarctions; MOFE factors, mainly pulmonary infection, recurrent cerebral infarction, skin infections, (3) first-episode and multiple failure of organs to cardiovascular, stomach, kidney more common. That the treatment of prevention, attention should be paid; (1) prevention of infection; (2) prevention of recurrent cerebrovascular disease; (3) to prevent stress ulcer; (4) rational drug use.