目的:探讨老年人上消化道急性穿孔的临床特点及治疗方法。方法:从我院近年来收治的上消化怠性穿孔患者中筛选出41例60岁以上患者的临床资料。结果:治愈38例(占92.68%),死亡3例(占7.32%)。结论:由于老年人自身免疫力下降,病情复杂,导致病情发展快,死亡率高,早诊断,及时手术治疗,是降低死亡率的有效途径[1]。 Objective: To investigate the clinical features and treatment of acute upper gastrointestinal perforation in the elderly. Methods: The clinical data of 41 patients over the age of 60 were screened from patients with upper digestive lacunar puncture admitted in our hospital in recent years. Results: 38 cases (92.68%) were cured and 3 cases died (7.32%). Conclusion: Due to the decline of autoimmune immunity and complicated condition in the elderly, the rapid progression of the disease and high mortality rate, early diagnosis and timely surgical treatment are effective ways to reduce mortality [1].