目的:分析老年人肺炎的临床特点及死亡原因。方法:回顾性分析我院近3 a来18例老年人肺炎死亡病例。结果:老年人肺炎多发生在营养及一般情况差、护理差的老人,多次住院,多合并一种以上的严重慢性基础疾病,多有抗生素耐药,死亡原因主要为多器官功能衰竭。结论:营养及护理,抗生素的合理使用,治疗措施是否积极合理,都是影响老年人肺炎死亡的重要因素。 Objective: To analyze the clinical features and cause of death of pneumonia in the elderly. Methods: A retrospective analysis of our hospital in the past 3 a to 18 cases of elderly pneumonia deaths. Results: Elderly pneumonia mostly occurred in poor nutrition and general condition. Elderly with poor care were hospitalized many times and had combined more than one kind of serious chronic basic diseases. Most of them were antibiotic resistant. The main cause of death was multiple organ failure. Conclusion: Nutrition and nursing, the rational use of antibiotics, and whether the treatment measures are positive or not are all the important factors that affect the death of pneumonia in the elderly.