本文报告我院1965—1996年尸检1250例,其中胸腹脏器破裂致死124例占9.9%。其病种分布特点:1.老年人多于青年人,男姓多于女性,其中老年男性占50%;2.胸腔脏器破裂主要疾病:主要是心脏、主动脉瘤和食道静脉曲张破裂致上消化道出血占90%;3.腹腔脏器破裂主要疾病:是消化道晚期肿瘤破裂和胃及十二指肠溃疡穿孔为主,占80%。4.消化道及非消化道大出血致死各占本组50%,前者主要疾病是食道静脉曲张,肿瘤和炎性溃疡。占消化道大出血致死的9s.2%,后者主要是心脏、主动瘤破裂和恶性肿瘤 This article reports 1250 autopsy cases in our hospital from 1965 to 1996, in which 124 cases of thoracoabdominal organs rupture and death accounted for 9.9%. The distribution of the disease characteristics: 1. Older than young people, more men than women, of which 50% of elderly men; 2. Thoracic organ rupture of the main diseases: mainly heart, aortic aneurysm and esophageal varices caused by rupture Upper gastrointestinal bleeding accounted for 90%; 3. Abdominal visceral rupture of the main diseases: the late gastrointestinal cancer rupture and duodenal ulcer perforation, accounting for 80%. 4. Gastrointestinal and non-gastrointestinal bleeding caused by death in each group accounted for 50%, the former major diseases are esophageal varices, tumors and inflammatory ulcers. Accounting for 9s.2% of deaths caused by gastrointestinal bleeding, the latter mainly heart, active rupture and malignant tumors