目的探讨老年人急性胆囊炎的临床特点和手术治疗经验。方法对我院2005年11月-2007年12月经手术治疗的56例65岁以上老年人急性胆囊炎的临床表现及治疗进行回顾性分析。结果56例中行胆囊切除术36例,胆囊切除+胆总管T管引流术18例,胆囊大部切除术2例。治愈54例,好转2例,无死亡病例。结论老年人对急诊胆囊手术一般都能耐受,积极手术结合围手术期严密观察及处理可以大大降低患者死亡率。 Objective To investigate the clinical features and surgical treatment of acute cholecystitis in the elderly. Methods A retrospective analysis was performed on the clinical manifestations and treatment of 56 cases of acute cholecystitis admitted to our hospital from November 2005 to December 2007 in our hospital. Results 56 cases of cholecystectomy in 36 cases, cholecystectomy + common bile duct T tube drainage in 18 cases, subtotal gallbladder in 2 cases. 54 cases were cured, 2 cases improved, no deaths. Conclusion The elderly are generally tolerant of emergency gallbladder surgery, and the positive observation combined with perioperative surgical treatment can greatly reduce the mortality rate.