本文报告我院自1971—1980年十年间胃癌出血81例。作者着重研究其临床特征,并根据病理所见,探讨其病理机制。本病发生率为同期上消化道出血3.37％及胃癌之12.92%。72.8％病人在出血后12小时入院,其中甚少发生休克。手术率为48.2％。急诊手术应尽量减少手术范围,以止血为主要目的。手术切除率为51.8％,死亡率为8.7％。不能切除病人均在8个月内死亡。全部病人五年生存率仅9.87％。 This article reports 81 cases of gastric cancer bleeding in our hospital from 1971 to 1980. The author focuses on the study of its clinical features, and discusses its pathological mechanism based on pathological findings. The incidence of this disease was 3.37% in the upper gastrointestinal bleeding and 12.92% in gastric cancer. 72.8% of patients were hospitalized 12 hours after hemorrhage, and very few of them had shock. The operating rate was 48.2%. Emergency surgery should minimize the scope of surgery and stop bleeding as the main purpose. The surgical resection rate was 51.8% and the mortality rate was 8.7%. Unresectable patients all died within 8 months. The five-year survival rate of all patients was only 9.87%.