目的分析南阳市60岁以上老年肺结核的临床特点,旨在提高医务人员临床诊断水平。方法回顾性分析2006年3月至2008年3月门诊或住院的60岁以上老年肺结核患者临床资料。结果老年肺结核症状不典型,X线影像复杂,误诊率高,并发症多及合并症多,药物不良发应发生率高等特征。结论老年肺结核致病因素多,易患难治,要引起临床医生的高度重视。 Objective To analyze the clinical features of pulmonary tuberculosis in elderly patients over the age of 60 in Nanyang City and to improve the clinical diagnosis of medical staff. Methods The clinical data of elderly patients with pulmonary tuberculosis over the age of 60 from March 2006 to March 2008 were analyzed retrospectively. Results Elderly patients with atypical pulmonary tuberculosis symptoms, X-ray images, high misdiagnosis rates, complications and more complications, high incidence of adverse drug reactions. Conclusion There are many pathogenic factors of tuberculosis in elderly patients, which are easy to be cured and hard to treat. It is necessary to attach great importance to clinicians.