[目的]分析56例肝源性溃疡的临床特点。[方法]以56例确诊为肝硬化门脉高压性胃病的腹痛、腹胀、反酸、嗳气、黄疸、脾大等为主要指标,结合胃镜诊断及溃疡灶分布特点进行分析。[结果]门脉高压性胃病好发于中老年人,溃疡以胃溃疡及复合性溃疡为主;临床症状以腹胀、腹痛为多见,易被肝硬化的症状掩盖。[结论]急诊胃镜检查有利于病因诊断,能鉴别出血原因,并能在胃镜下及时止血。在制酸、保护胃黏膜的基础上合用小剂量心得安有利于溃疡灶的愈合。 [Objective] To analyze the clinical features of 56 cases of liver-derived ulcer. [Methods] The abdominal pain, abdominal distension, acid reflux, belching, jaundice, splenomegaly and so on were measured in 56 patients diagnosed as cirrhosis and portal hypertension gastritis as the main index, combined with the diagnosis of gastroscopy and the distribution of ulcer lesions. [Results] Portal hypertensive gastropathy occurred in middle-aged and elderly people. The ulcer mainly consisted of gastric ulcer and multiple ulcer. The clinical symptoms were common with abdominal distension and abdominal pain and were easily covered by the symptoms of liver cirrhosis. [Conclusions] Emergency gastroscopy is helpful for the diagnosis of etiology, identifying the cause of hemorrhage and timely stopping the bleeding under gastroscope. In the system of acid, gastric mucosa on the basis of combination of low-dose experience is conducive to ulcer healing.