目的　了解急性上消化道出血的病因、发病状况及其预后 ,为本病的预防及诊治提供参考。方法　回顾总结我院 6年来收治的 545例急性上消化道出血患者的临床资料 ,进行多方面对比分析。结果　急性上消化道出血的发病率逐年增加 ,但病情呈逐年减轻趋势。消化性溃疡仍是第一病因 ,发病年龄以老年组为多。发病季节以 1 0月份—次年 3月份较多。结论　急诊内镜检查能明显提高病因诊断的正确率。寒冷季节注意积极治疗溃疡病 ,避免接触诱发因素 ,特别是老年人 ,积极综合治疗能进一步改善预后 Objective To understand the etiology, morbidity and prognosis of acute upper gastrointestinal hemorrhage and provide references for the prevention and treatment of this disease. Methods The clinical data of 545 patients with acute upper gastrointestinal hemorrhage admitted in our hospital for 6 years were summarized and analyzed in many aspects. Results The incidence of acute upper gastrointestinal bleeding increased year by year, but the disease showed a decreasing trend year by year. Peptic ulcer is still the first cause, the age of onset to the elderly group. The onset of the season to 10 months - next March more. Conclusion Emergency endoscopy can significantly improve the correct diagnosis of the cause. Active attention to the cold season of ulcer disease, avoid contact with predisposing factors, especially the elderly, active treatment can further improve the prognosis