目的探讨本院内科2001年~2003年60岁以上住院患者死亡原因。方法分析149例患者死亡率、死亡原因。结果住院老年人死亡率为6.77%,病死原因按系统分析,呼吸系统疾病居首位占31.54%;神经系统占24.16%;心血管系统占22.82%;消化系统占14.09%。呼吸系统疾病死亡病例中以慢性阻塞性肺病(COPD)如慢性支气管炎、肺感染、呼吸衰竭多见。结论降低住院老人病死率的关键在于积极控制感染,强调吸烟的危害性,加强对慢性支气管炎、肺气肿及高血压病的防治和心肺功能测定。 Objective To investigate the causes of death of hospitalized patients over the age of 60 from 2001 to 2003 in our hospital. Methods 149 patients were analyzed for mortality and causes of death. Results The mortality rate of hospitalized elderly was 6.77%. According to the systematic analysis, the cause of death was 31.54%; the nervous system accounted for 24.16%; the cardiovascular system accounted for 22.82%; and the digestive system accounted for 14.09%. Among the deaths from respiratory diseases are chronic obstructive pulmonary disease (COPD) such as chronic bronchitis, lung infection and respiratory failure. Conclusion The key to reduce the mortality rate of hospitalized elderly patients is to actively control the infection, emphasize the harmfulness of smoking, and strengthen the prevention and treatment of chronic bronchitis, emphysema and hypertension and determination of cardiopulmonary function.