目的　探讨老年人消化性溃疡出血的临床特点及内镜注射治疗的效果。方法　采用分组对照的方法对两组临床和内镜的特点以及治疗结果进行分析。结果　内镜注射止血成功 78例 ,2例内镜止血失败后成功的进行了外科手术。老年组患者在出血量、2 4h内输血次数、慢性病史及病变部位与对照组比较有显著性差异。结论　急诊内镜检查是明确消化性溃疡出血病因的首选方法 ,采用镜下止血安全、有效、经济。 Objective To investigate the clinical characteristics of peptic ulcer bleeding in elderly patients and the effect of endoscopic injection therapy. Methods The methods of group control were used to analyze the clinical and endoscopic features and treatment outcome of the two groups. Results Endoscopic injection of hemostasis was successful in 78 cases, and two cases of successful surgical operation after failed endoscopic hemostasis. Elderly patients in the amount of bleeding, blood transfusion within 24 hours, chronic disease history and lesion sites compared with the control group were significantly different. Conclusions Emergency endoscopy is the first choice to identify the etiology of peptic ulcer bleeding. It is safe, effective and economical to stop the bleeding by using the microscope.