目的总结分析Dieulafoy病的内镜下表现、治疗效果和预后。方法分析延庆县医院2004-01-2009-04确诊的14例Dieulafoy病住院患者的病例资料,记录患者的各项指标。结果 11例一次治疗成功。2例内镜治疗失败,1例行外科手术治疗成功,1例放弃治疗死亡。1例合并多种基础疾病的患者再次出血,经内科保守治疗出血停止。结论发现病变后应首先尝试内镜下止血,但对于反复出血,经内镜治疗失败和治疗后仍有发作的患者应考虑及时手术治疗。 Objective To summarize the endoscopic findings, treatment effects and prognosis of Dieulafoy’s disease. Methods The data of 14 cases diagnosed as Dieulafoy disease hospitalized in Yanqing County Hospital from January 2004 to April 2009 were analyzed and various indexes of patients were recorded. Results 11 cases of a successful treatment. 2 cases of failure of endoscopic treatment, 1 case of successful surgical treatment, 1 patient gave up treatment of death. One patient with multiple underlying diseases blew again and bleeding stopped after conservative medical treatment. Conclusions After the lesion was found, we should first try to endoscopic hemostasis, but for repeated bleeding, failure of endoscopic treatment and treatment of patients who still have seizures should consider timely surgical treatment.