目前尚无大样本流行病学调查资料显示老年人群乙肝病毒感染状况,传统观念认为相对于年轻人,老年人不容易患急性乙型肝炎,老年人急性乙型肝炎易被漏诊、误诊,并且由于高龄和基础疾病状态,很可能给急性乙型肝炎的治疗带来难度,甚至增加患者的病死率。我们对2010年1月至2014年12月北京佑安医院收治的60岁及以上、资料完整的41例急性乙型肝炎老年患者的临床特点进行总结,报告如下。 There is no large-scale epidemiological survey of hepatitis B virus in elderly population shows the status quo, the traditional concept that relative to young people, the elderly are not susceptible to acute hepatitis B, elderly acute hepatitis B is easily missed diagnosis, misdiagnosis, and because Older and basic disease states are likely to make the treatment of acute hepatitis B more difficult and even increase the patient’s case fatality rate. We summarize the clinical features of 41 elderly patients with acute hepatitis B aged 60 and over who were admitted to Beijing You’an Hospital from January 2010 to December 2014. The report is as follows.