目的:探讨老年人急性胆囊炎的临床特点和治疗方法。方法:回顾性分析52例老年急性胆囊炎患者的临床资料。结果:本组中治愈50例,死亡2例,病死率3.84%;术后并发切口感染10例(19.2%)、肺部感染5例(9.6%)、脑功能紊乱4例(7.7)%。结论:老年急性胆囊炎临床症状、体征不典型,病情发展快,易导致化脓、坏疽、穿孔等;多数患者经充分术前准备可耐受手术治疗;早期手术及选择恰当手术方式是减少并发症、降低手术死亡率的关键。 Objective: To investigate the clinical features and treatment of acute cholecystitis in the elderly. Methods: A retrospective analysis of 52 cases of elderly patients with acute cholecystitis clinical data. Results: In this group, 50 cases were cured and 2 died. The mortality rate was 3.84%. There were 10 cases (19.2%) with incisional infection, 5 cases (9.6%) with lung infection and 4 cases (7.7%) with brain dysfunction. Conclusions: The clinical symptoms and signs of senile acute cholecystitis are not typical, and the condition develops rapidly, which may lead to suppuration, gangrene and perforation. Most patients are well tolerated by adequate preoperative preparation. Early surgery and appropriate surgical procedures can reduce the complications , Reduce the key to surgical mortality.