我們提出一個62歲男性因為多發性的肺膿瘍來住院，接著並發生急性呼績窘迫症候群及急性冠心症。這種特殊情況是很罕見的而且很少被報導出來。此時我們運用團隊資源管理來處理這些複雜的情況，包括冠狀血管再造、感染控制、呼吸治療及判定肺膿瘍的病原體。這個病人是體外循環下冠狀動脈繞道手術來治療冠心症。這是一成功使用團隊資源管理的案例

We present the case of a 62-year-old man who was admitted to the hospital because of multiple lung abscesses and subsequently presented acute respiratory distress syndrome and acute coronary syndrome (ACS). This particular condition is rare, and few cases have been reported. Team resource management (TRM) was used to manage these complex situations, which required emergency coronary revascularization, respiratory care, infection control, and determination of the unknown pathogen of the pulmonary abscess. ACS was treated using coronary arterial bypass graft (CABG) surgery under cardiopulmonary bypass. The patient was treated successfully after CABG surgery, further care, and the use of TRM.