目的浅析心内科老年患者院内心源性猝死的病因。方法采用回顾性研究方法,收集2014年4月-2016年2月在河北省成安县人民医院心内科发生心源性猝死的60例老年住院患者作为研究对象,并进行统计分析。结果心内科老年患者院内心源性猝死的危险因素以情绪因素为主,占46.7%;主要病因为冠心病占41.7%,高血压心脏病占15%,风湿性心脏病占11.7%,扩张型心肌病占10%;时间上66.7%发生在入院2~3周内,33.3%发生在零点以后,71.7%发生在病情恶化1h内。结论心源性猝死起病急,进展快,预防和治疗困难,临床医生可以根据患者的病情、危险因素等区分级别,及时采取有效的干预措施,保证患者的生命安全。 Objective To analyze the etiology of sudden cardiac death in elderly patients in cardiology department. Methods A retrospective study was conducted to collect 60 elderly inpatients with cardio-sudden cardiac death in Department of Cardiology, People’s Hospital of Cheng’an County, Hebei Province from April 2014 to February 2016 as a research object and to conduct statistical analysis. Results The risk factors for sudden cardiac death in elderly patients were mainly emotional factors, accounting for 46.7%. The main causes were coronary heart disease (41.7%), hypertensive heart disease (15%), rheumatic heart disease (11.7%), dilative Myocardial disease accounted for 10%; 66.7% of the time occurred within 2 to 3 weeks after admission, 33.3% occurred after zero, 71.7% occurred in the disease within 1h. Conclusions Sudden onset of sudden cardiac death, rapid progression, prevention and treatment difficulties, clinicians can be based on the patient’s condition, risk factors, such as the level of distinction, timely and effective intervention to ensure the safety of patients.