脓毒症是患者入住ICU的常见病因，也是ICU患者死亡的主要原因之一。急性肾功能损伤是脓毒症常见脏器损伤，且与患者病死率相关。慢性阻塞性肺疾病患者由于长期肺动脉高压会导致肺源性心脏病，并进一步引起右心肥大甚至心功能不全，严重影响患者心肺功能。嘉兴市第二医院收治1例老年肺源性心脏病并发胃肠道穿孔、脓毒症休克患者，术后出现低心排、急性肾功能损伤及体循环淤滞，经相关积极救治后顺利出院，现将本例的临床资料及诊疗体会报道如下。

Sepsis is a common cause of ICU admission and one of the leading causes of death in ICU patients. Acute kidney injury is common with sepsis and is associated with mortality. With long-term pulmonary hypertension COPD patients may have pulmonary heart disease manifesting as right heart hypertrophy or even cardiac insufficiency, which seriously affects patients′ cardiopulmonary function. Here we report a case of senile pulmonary heart disease complicated with gastrointestinal perforation and septic shock in the Jiaxing Second Hospital. After successful treatment of low cardiac output, acute renal function damage and systemic stasis, the patient was discharged .