目的探讨老年人上消化道出血的临床特点。方法对我院2002～2006年收治的上消化道出血病例老年组(A组)109例及中青年组(B组)患者122例进行回顾性对比分析。结果A组的呕血黑便率、无腹痛率、并发休克率、伴随疾病率分别为92.6%、63%、37%、53.7%;与B组相比差异显著或非常显著。病因方面,消化性溃疡仍是老年人上消化道出血的首位病因,老年组GU(胃溃疡)略多于DU(十二指肠溃疡),差异不显著,而中青年组DU明显多于GU,差异显著。结论老年上消化道出血呕血黑便率高,常无腹痛,并发症和伴随疾病多。 Objective To investigate the clinical features of upper gastrointestinal bleeding in the elderly. Methods A total of 122 elderly patients (A group) and 122 middle-aged and younger patients (B group) admitted to our hospital from 2002 to 2006 were retrospectively analyzed. Results The hematemesis rate, no abdominal pain rate, concurrent shock rate and associated disease rate in group A were 92.6%, 63%, 37% and 53.7%, respectively. The difference between group A and B was significant or very significant. Etiology, peptic ulcer is still the leading cause of upper gastrointestinal bleeding in the elderly, elderly group GU (gastric ulcer) slightly more than DU (duodenal ulcer), the difference was not significant, while young DU group was significantly more than GU ,Significant difference. Conclusion Upper gastrointestinal haemorrhage with hematemesis high rate of black, often without abdominal pain, complications and concomitant diseases.