我院1960～1985年经 X 线及胃镜检查,病理确诊的青年人胃癌60例。患病率随年令增长有上升趋势。主要临床表现有慢性胃痛,近半年中有消瘦、贫血、呕血、黑便、食后呕吐及上腹包块等。癌好发于胃窦部、浸润性癌占58.3%,病理组织学类型低分化和未分化腺癌66.6%,手术根治率25%,除8例失访外均死于二年内。青年人胃癌预后极差。提高对青年人胃癌的认识,利用胃镜早期确诊和及时手术根治,对延长存活率有重要价值。 In our hospital from 1960 to 1985, X-ray and gastroscopy were performed. Sixty cases of gastric cancer were diagnosed in young patients. The prevalence rate has increased with annual growth. The main clinical manifestations of chronic gastric pain, weight loss in the last six months, anemia, vomiting, black stools, vomiting after eating and abdominal mass and so on. Cancer occurred in the gastric antrum, infiltrating carcinoma accounted for 58.3%, histological type of poorly differentiated and undifferentiated adenocarcinoma was 66.6%, surgical radical cure rate was 25%, and all but eight patients lost their follow-up and died within two years. Young people have poor prognosis of gastric cancer. Raising awareness of young people’s gastric cancer, using early diagnosis of gastroscopes and radical surgery in time, is of great value in prolonging survival.