目的探讨老年主动脉夹层(AD)的临床表现、病因,提高对该病的认识,早期正确诊断、治疗。方法对30例老年AD患者进行回顾性分析。结果临床症状缓解,心率、血压稳定后出院26例,转院进一步治疗1例,死亡3例。结论及早诊断、保守治疗是提高老年AD生存率的关键。 Objective To investigate the clinical manifestations and etiology of elderly patients with aortic dissection (AD) and to improve their understanding of the disease and its early diagnosis and treatment. Methods Thirty elderly AD patients were retrospectively analyzed. The results of clinical symptoms, heart rate, blood pressure was stable after discharge 26 cases, transferred to further treatment in 1 case, 3 patients died. Conclusion Early diagnosis and conservative treatment are the keys to improve the survival rate of AD in the elderly.