胃结核较罕见 ,临床表现和内镜检查肉眼所见无特异性 ,因此误诊率很高。笔者查阅近 10年国内文献[1～ 4 ] 2 8例和本院确诊 1例 ,合计 2 9例胃结核的发病情况、临床表现与诊断等进行复习、探讨 ,以期提高对本病的诊断水平。1　本院病例报告男性患者 ,4 1岁 ,因反复上腹饥饿性疼 Gastric tuberculosis is rare, clinical manifestations and endoscopy nonspecific findings, so the misdiagnosis rate is high. The author reviewed nearly 10 years of domestic literature [1 ~ 4] 28 cases and 1 hospital confirmed cases, a total of 29 cases of gastric tuberculosis incidence, clinical manifestations and diagnosis were reviewed and discussed in order to improve the diagnosis of the disease . A hospital report of male patients, 41 years old, because of repeated upper abdominal hunger pain