1962～1977年间我科收治胃癌438例,合并明显出血者多为Ⅱa+Ⅱc、Ⅱc+Ⅲ与BorrmannⅡ、Ⅲ型、分化型、团块状生长巢状生长者,表明明显出血并非晚期表现。恶性程度多不甚高。胃癌伴有贫血时,必须讯问有无明显出血史。对有者应矫正贫血、争取根治,术后长期疗效同样良好。对无明显出血史者宜充分估计病情,多预后不佳。 From 1962 to 1977, our department received 438 cases of gastric cancer. Most of the patients with combined hemorrhage were IIa+IIc, IIc+III and BorrmannII, III, differentiated, and lumps of nest growth. This indicates that the bleeding is not advanced. The degree of malignancy is not very high. When gastric cancer is associated with anemia, it must be questioned whether there is a history of bleeding. For those who should correct anemia and fight for cure, the long-term efficacy is equally good. For those who have no history of bleeding, it is advisable to fully estimate the condition and have a poor prognosis.