目的：探讨降低老年人脑肿瘤手术死亡率的措施。方法：通过系统回顾的方法对７３例患者的手术治疗进行了研究。结果：手术死亡率４．１％，术后并发症发生率３３％。结论：ＣＴ及ＭＲＩ对减少误诊有重要价值，过度的脱水治疗应当避免，严密监控下的全身麻醉比局麻更安全，术后并发症的预防和治疗是减少手术死亡率的关键。 Objective: To explore the measures to reduce the surgical mortality of brain tumors in the elderly. Methods: Surgical treatment of 73 patients was studied by systematic review. Results: The operative mortality rate was 4.1% and the postoperative complication rate was 33%. Conclusion: CT and MRI have important value in reducing misdiagnosis. Excessive dehydration therapy should be avoided. Under the close surveillance, general anesthesia is safer than local anesthesia. Prevention and treatment of postoperative complications are the key to reduce operative mortality.