本文报道161例上消化道出血病人紧急内窥镜检查结果,急性粘膜病变占42.2％,居出血原因首位,消化性溃疡占29.2％,居第二位。出血源诊断阳性率为91.3％。出血部位以胃部居多(占41％)。24小时或48小时以内检查,活动出血占47.1％,诊断正确率高。实践证明,紧急内窥镜检查能提高上消化道出血病因诊断的阳性率,及时而准确的确定出血部位和病因,初步认为是一种安全可靠的检查方法。 This article reports 161 cases of upper gastrointestinal bleeding in patients with emergency endoscopy, acute mucosal lesions accounted for 42.2%, the first cause of bleeding, peptic ulcer accounted for 29.2%, ranking second place. The positive rate of bleeding diagnosis was 91.3%. Bleeding site to stomach mostly (41%). 24 hours or less than 48 hours examination, active bleeding accounted for 47.1%, the diagnosis of high correct rate. Practice has proved that emergency endoscopy can increase the positive rate of diagnosis of etiology of upper gastrointestinal bleeding, timely and accurate determination of the site and cause of bleeding, initially considered to be a safe and reliable method of inspection.