老年人胃溃疡临床表现多不典型,故易造成延迟就诊或误诊。因其病史较长,溃疡出血可致慢性失血性贫血,甚至重度贫血,以贫血症状而就诊。我们在工作中遇到7例。如例1:女,67岁,因头晕、乏力1年,加重半月就诊。体检:面色苍白贫血貌,呼吸急促。化验Hb 5 g,以重度贫血收入院。大便潜血(+)。治疗1周后X线钡餐检查示胃体大弯处 3 cm× 3 cm及 2 cm× 3 cm大溃疡两处,均位于腔外。胃镜检查活检证实为慢性胃溃疡。经治疗4月后溃疡消失。随访4年病人健康 Many elderly patients with gastric ulcer clinical manifestations, it is easy to delay treatment or misdiagnosis. Because of its longer history, ulcer bleeding can cause chronic hemorrhagic anemia, and even severe anemia, to anemia symptoms and treatment. We encountered 7 cases at work. Example 1: Female, 67 years old, due to dizziness, fatigue for 1 year, increased half-month treatment. Physical examination: pale pale face, shortness of breath. Laboratory Hb 5 g, with severe anemia income hospital. Fecal occult blood (+). One week after the treatment, the X-ray barium meal examination showed that the large bends of gastric body were 3 cm × 3 cm and 2 cm × 3 cm. Both of them were located outside the cavity. Gastroscopy biopsy confirmed chronic gastric ulcer. The ulcer disappeared after 4 months of treatment. Follow-up 4 years patient’s health