消化性溃疡主要指胃溃疡和十二指肠溃疡,消化性溃疡典型的临床表现是节律性周期性的上腹部疼痛,而15%消化性溃疡患者可无症状,而以出血穿孔等并发症为首发症状[1]。现将我院2007年1月—2009年10月经电子胃镜检查及手术治疗,以并发症为首发症状的消化性溃疡患者38例报告如下。1 Peptic ulcer mainly refers to gastric ulcer and duodenal ulcer. The typical clinical manifestation of peptic ulcer is rhythmic cyclical upper abdominal pain, and 15% of patients with peptic ulcer can be asymptomatic, while bleeding complications such as perforation Symptoms [1]. Now in our hospital from January 2007 to October 2009 by electronic endoscopy and surgical treatment of complications as the first symptom of peptic ulcer in 38 patients reported as follows. 1