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目的：探讨老年患者腹部手术后早期炎性肠梗阻的预防及诊治方法。方法回顾性分析2010年1月至2015年12月收治的19例术后早期炎性肠梗阻老年患者的临床资料。结果19例术后早期炎性肠梗阻老年患者，大多发生于胃肠手术后（胃癌根治术2例，右半结肠切除术4例，左半结肠切除术2例，直肠癌根治术3例，脾切除术1例，肠粘连松解术2例，阑尾切除术5例），合并有心肺慢性疾病、高血压、糖尿病、低蛋白血症等合并症。老年术后早期炎性肠梗阻的治疗以非手术治疗为主，监护生命体征、胃肠减压、维持水电解质平衡、抗炎、生长抑素治疗、营养支持是主要的治疗措施。同时要控制合并症，密切观察病情变化。结论老年术后早期炎性肠梗阻是由于腹部手术创伤或术后腹腔内炎症反应等原因所致，控制手术范围及时间、术中冲洗腹腔、减少腹腔积液可以减少其发生率，非手术治疗大多能缓解。“,”Objective To investigate the prevention and treatment of early postoperative inflammatory ileus in elderly patients after abdominal operation. Methods The clinical data of 19 elderly patients with early inflammatory ileus from January 2010 to December 2015 were retrospectively analyzed. Results Most of 19 cases occurred in gastrointestinal surgery(two cases occurred in radical gastrectomy,6 cases occurred in radical colectomy,3 cases occurred in radical rectectomy,2 cases occurred in enterodialysis,1 case occurred in splenectomy,5 cases occurred in appendectomy). Lot of them combined with chronic diseases,so as to chronic heart and pulmonary disease,hypertension,diabetes,low serum albumin and other complications. Non-surgery treatment was the main method for these patients. The main treatment measures were monitoring of vital signs, gastrointestinal decompression,maintaining water and electrolyte balance,anti-inflammatory,somatostatin therapy,nutritional support. The complications of the patients must be controlled. The patient’s condition would be observed closely. Conclusion Elderly patient with early postoperative inflammatory ileus was due to trauma or inflammation of abdominal surgery. Controlling operation scope,shortening operation time,washing abdominal cavity,expedite abdominal drainage may reduce morbidity opportunity. Most of them can relieve with non-operative therapy.