目的：了解溶栓治疗对于降低高龄急性心肌梗塞（ＡＭＩ）患者的病死率，延长寿命的作用。方法：观察和分析１０例高龄（≥７０岁）患者溶栓（尿激酶）和抗凝治疗的疗效及并发症。结果：溶栓治疗后冠状动脉总的再通率为９０％，死亡１例（心源性休克，溶栓无效），臀部出血１例。结论：对７０岁以上老年ＡＭＩ患者也可酌情进行溶栓和抗凝治疗。 Objective: To understand the role of thrombolytic therapy in reducing mortality and prolonging life expectancy in elderly patients with acute myocardial infarction (AMI). Methods: Efficacy and complications of thrombolytic (urokinase) and anticoagulation in 10 elderly patients (≥70 years) were observed and analyzed. Results: The total recanalization rate of coronary artery after thrombolytic therapy was 90%, 1 died (cardiogenic shock, thrombolytic invalid) and 1 case of hip bleeding. Conclusions: Thrombolysis and anticoagulation therapy are also available for AMI patients over the age of 70 years.