青年人(30岁以下)胃癌较少,以呼吸系统为首发症状者更少。近年来青年人胃癌有增高的趋势。且其临床表现复杂、隐匿,易于误诊。现报告1例误诊为支气管炎病例。赵某,男,24岁。咳喘、憋气、低热10余天。食欲减退,体重无减轻。在厂保健站以“急性支气管炎”,静脉给予抗生素、氨茶碱及氢化可的松治疗4天,憋气仍如重而入院。既往有多年轻微上腹隐痛、 Young people (under 30 years of age) have less stomach cancer and fewer people have respiratory symptoms as the first symptom. In recent years, young people have a growing trend in gastric cancer. And its clinical manifestations are complex, hidden and easy to misdiagnose. One patient is misdiagnosed as bronchitis. Zhao, male, 24 years old. Cough, belching, fever for more than 10 days. Loss of appetite and loss of weight. At the factory health station, “acute bronchitis” was treated intravenously with antibiotics, aminophylline, and hydrocortisone for 4 days. Hernia was still admitted to hospital as heavy as possible. Past years have slight abdominal pain,