目的分析不同年龄组急性脑血管病(又称脑卒中)患者的主要死亡原因,以利于对临床重症脑卒中患者的抢救和治疗。方法140例脑卒中死亡者分为中年组和老年组,对其并发症、死亡时间、直接死因等进行回顾性地分析。结果两组并发症均以肺部感染、泌尿系感染、上消化道出血为主要表现;两组病例死亡时间绝大部分为发病30天内;中年组直接死因为原发病本身,老年组死于原发病者为70.19%,其他死于各种并发症。结论对中年脑卒中患者应尽早控制原发病,挽救生命;对老年脑卒中患者应在治疗原发病的同时积极防治并发症,注意对心、肾等重要脏器的保护。 Objective To analyze the main causes of death in patients with acute cerebrovascular disease (also known as stroke) in different age groups in order to facilitate the rescue and treatment of patients with severe stroke in clinical practice. Methods 140 stroke deaths were divided into middle-aged group and elderly group, and their complications, death time and direct cause of death were retrospectively analyzed. Results The complications of the two groups were mainly pulmonary infection, urinary tract infection and upper gastrointestinal bleeding. The death time of the two groups was mostly within 30 days after the onset of disease. In the middle age group, the direct cause of death was the primary disease itself, and the elderly group died In the primary disease was 70.19%, the other died of various complications. Conclusions In the middle-aged stroke patients, the primary disease should be controlled as soon as possible so as to save lives. In the elderly patients with stroke, the primary disease should be treated and the complications should be prevented. Attention should be paid to the protection of important organs such as heart and kidney.