本文报告1例活检证实的胃结核。患者男,53岁,主诉心窝部疼痛和便血。患者1977年5月27日始黑便,5月30日发生昏厥,因高度贫血曾予以输血。6月3日有再出血征候作上消化道内窥镜检查,见胃下部后壁溃疡尚有出血,当日咯痰检查发现有结核菌排出。患者既往有肺结核,1955年作右上肺叶切除及胸廓成形术。1966年复发,治疗1个月即中断。入院时患者颜面苍白,心脏正常,两肺全肺野有湿罗音,肝脾未扪及。胸部 X 线检查见结核病灶,胃活检见伴巨细胞的类上皮性肉芽肿。3周后胃 This article reports a biopsy confirmed gastric tuberculosis. Male patient, 53 years old, complains of sore throat and blood in the stool. The patient began melena on May 27, 1977, and fainted on May 30, transfusions due to high degree of anemia. June 3, there are signs of re-bleeding on the upper gastrointestinal endoscopy, see the stomach wall ulcers after the bleeding is still there, the day of sputum examination found that tuberculosis bacteria discharge. Patients with past tuberculosis, 1955 for the right upper lobe resection and thoracoplasty. Recurrence in 1966, treatment of 1 month is interrupted. Patient admitted pale face, normal heart, both lungs lung field wet rales, liver and spleen not palpable. Chest X-ray examination of tuberculosis, gastric biopsy see with giant cell-like epithelial granuloma. 3 weeks after the stomach