目的　结合国内外文献，探讨高龄肺癌患者手术治疗的价值。方法　分析１９８５～１９９５年上海市胸科医院４例８０岁以上高龄肺癌切肺手术的结果。结果 ４例均为男性，平均年龄８２．３岁（８０～８６岁），均为Ｉ期肺癌；右上叶切除２例、右下叶和左下叶切除各１例。３例术前给予积极的术前准备，术后都康复出院；１例术前未作特殊准备，术后９天死于脑栓塞。结论　对高龄肺癌患者的切肺手术应抱积极的态度，单纯年龄因素并不是手术的绝对禁忌症，应全面考虑患者的综合情况，包括实际年龄与生理年龄的差距、有无伴有重要脏器的疾病、心肺功能、肺癌的分期、手术切除的可能性、术后预期生存时间和重视围术期的处理等。 Objective To evaluate the value of surgical treatment for elderly patients with lung cancer based on literature at home and abroad. Methods From 1985 to 1995, Shanghai Chest Hospital 4 cases of elderly patients over the age of 80 lung cancer lung resection results. Results All 4 patients were male, mean age was 82.3 years old (80-86 years old), all of which were stage I lung cancer. There were 2 cases of right upper lobe resection and 1 case of lower right lobe and left lower lobe resection. Three patients were given preoperative positive preoperative preparation and recovered after operation. One patient had no special preparation before operation and died of cerebral embolism 9 days after operation. Conclusions For patients with advanced lung cancer, pulmonary surgery should have a positive attitude. Simple age is not an absolute contraindication for surgery. Comprehensive consideration should be given to the overall situation of the patients, including the difference between the actual age and the physiological age, with or without important organs Of the disease, cardiopulmonary function, stage of lung cancer, the possibility of surgical resection, expected survival time after surgery and pay attention to the perioperative treatment.