目的探讨老年人消化性溃疡急性穿孔的临床特点。方法回顾性分析19a间该院收治的老年人消化性溃疡急性穿孔237例的临床资料。结果手术治疗217例，其中胃大部分切除术119例，穿孔修补术％例，死亡5例（2．3％）。结论老年人患本病，病死率高，在诊治过程中，应控制合并症，防止并发症，充分做好术前准备，争取尽早手术。 Objective To investigate the clinical features of acute perforation of peptic ulcer in the elderly. Methods The clinical data of 237 cases of acute peptic ulcer perforation in the elderly in 19 years in our hospital were retrospectively analyzed. Results Surgical treatment of 217 cases, of which 119 cases of partial resection of the stomach, perforation repair cases, 5 cases (2.3%) died. Conclusion The elderly suffering from this disease, high mortality, in the diagnosis and treatment process, complications should be controlled to prevent complications, fully prepared for preoperative and strive for early surgery.