目的：分析当前老年内科危重症病例的病情特点和死亡原因，为提高医护人员的救治水平积累经验。方法收集入院后60岁以上老年人因各种原因救治无效的死亡病例42例，通过对入院诊断、检查、治疗和病情恶化后抢救过程、死亡原因等方面的分析，讨论和总结死亡病例的特点、救治经验以及有待改进的知识和技术。结果在两年中住我院内科总病例数为4312例，抢救病例517例，住院期间死亡的老年人42例，死亡人数占入院总人数的0.97%。其中入院后24小时内死亡者14例，占死亡病例的33.3%，其余大部分在入院两周内死亡。死亡主要原因有猝死（12例，28.6%），脓毒症（9例，21.4%），心肌梗死（3例，7.1%），窒息（5例，11.9%），跌倒（3例，7.1%），肺栓塞（3例，7.1%），脑出血（3例，7.1%），代谢紊乱（5例，11.9%）。结论应加强老年人危重症患者在急诊和入院时的快速诊断和处理能力，入院后的监护措施和系统分析、处理方法应规范化，防止意外事件的发生需从加强护理入手。“,”Objective: In order to improve resuscitation and management skil s, and accumulate experience for medical staff, the characteristics and causes of death in the elderly critical patients were analyzed. Methods: Forty two cases of the elderly above 60 years of age who died after admission were col ected. Based on analyses of admission diagnosis, check-up, medical therapy,resuscitation after the deterioration and causes of death, the characteristics of the diseases , the lessons and experience during the treatment,the knowledge and technics during the care which need to be improved were discussed and summarized. Results: The total number of admitted patients in the two years was 4312. Among them, 517 cases had critical conditions and received life saving procedures. 42 cases were dead and mortality was 0.97% in the total patients. In dead patients, 14 cases died within 24 hours after admission, which accounted for 33.3%. The rest of patients mostly died in two weeks after admission. The major causes of death were sudden death (12 cases, 28.6%) ,sepsis (9 cases, 21.4%), myocardial infarction (3 cases,7.1%), suffocation (5 cases,11.9%), fal (3 cases,7.1%), pulmonary embolism (3 cases,7.1%), intracranial hemorrhage (3 cases,7.1%), metabolic disorders (5 cases,11.9%). Conclusion: The skil s of rapid diagnosis and management during emergency and on admission should be enhanced. The monitoring measures, systemic analysis and management methodology should be formalized, and the nurse team needs to be strengthened so that the accidents wil be prevented.