目的　探讨隐血珠对上消化道疾病诊断价值。方法　对自然人群中 2 4712例志愿者行隐血珠检测 ,对检测结果为“ ”及“ ”者作纤维胃镜进一步检查确诊 ,并进行统计分析。结果　对隐血珠检测阳性者志愿作胃镜检查 2 5 6 8例 ,发现上消化道各种炎性病变 2 0 15例 ,占75 80 % ,上消化道癌 10 8例 ,占 4 0 6 % ,消化性溃疡、平滑肌瘤、憩室、息肉等病变占 3 76 %。结论　秦氏隐血珠在上消化道肿瘤高发区高危人群中作为普查初筛手段确有重要实用价值 ;对临床判断有无上消化道炎性病变亦有重要参考价值 ,故值得进一步推广应用 Objective To explore the value of occult blood beads in the diagnosis of upper gastrointestinal diseases. Methods Twenty-four to 1272 volunteers in the natural population were tested for occult blood beads, and those who were diagnosed as “” and “” were further diagnosed by fiberofuroscopy and statistically analyzed. Results Twenty-five (15%) cases of vaginal inflammatory lesions were found, of which 25 (80%) were upper gastrointestinal cancers, accounting for 40.6% Peptic ulcer, leiomyomata, diverticula, polyps and other lesions accounted for 76%. Conclusions Qin Xie Xue Zhu in the high incidence of high-risk area of ​​upper gastrointestinal cancer as screening screening method has an important practical value; clinical judgment of upper gastrointestinal inflammatory lesions also have important reference value, it is worth further promotion and application