有关急腹症的文献甚多,但对老年人的腹膜炎研究甚少。为了了解住院老年病人的腹膜炎流行及诊断情况,作者进行回顾性调查。病人和方法1968至1987年间,有9585例病人在医院中死去,7668例(80%)作了尸解,其中290例病人主要疑诊急腹症入院。共发现212例腹膜炎,女144例,男68例,年龄60～99岁。尸解诊断198例,剖腹诊断34例。212例中,46例因其它原因用过麻醉药物,余166例作为病例组,进行症状学研究,另选没有腹膜炎、未用过麻醉药物的166例作对照组,对每个 There is a lot of literature on acute abdomen, but little is known about peritonitis in the elderly. In order to understand the prevalence and diagnosis of peritonitis in hospitalized elderly patients, the authors conducted a retrospective survey. Patients and Methods Between 1968 and 1987, 9585 patients died in hospitals and 7668 (80%) were autopsyed. Among them, 290 patients were admitted to hospital for the main suspected acute abdomen. A total of 212 cases of peritonitis were found, 144 females, 68 males, aged 60 to 99 years. 198 cases of autopsy diagnosis, laparotomy diagnosis of 34 cases. Among the 212 cases, 46 cases used narcotic drugs for other reasons and 166 cases were used as the symptomology study. Another 166 cases without peritonitis and no anesthetic drugs were selected as the control group.