目的探讨老年消化性溃疡患者的临床发病特点及病因。方法回顾性分析110例消化性溃疡老年患者的临床表现、诊治过程、并发症等临床资料。结果老年性上消化道溃疡常缺乏典型症状,十二指肠球部溃疡47例。溃疡面积1～2 cm,且常伴有出血、穿孔、梗阻等并发症,复发率高达51.06%,预后差。结论一旦老年患者出现消化道不适,应尽早行胃镜明确诊断,规范化治疗,减少并发症及复发率,改善预后。 Objective To investigate the clinical characteristics and causes of peptic ulcer in the elderly. Methods Retrospective analysis of 110 cases of peptic ulcer in elderly patients with clinical manifestations, diagnosis and treatment process, complications and other clinical data. Results Senile upper gastrointestinal ulcer often lack typical symptoms, duodenal ulcer in 47 cases. Ulcer area of ​​1 ~ 2 cm, and often accompanied by bleeding, perforation, obstruction and other complications, the recurrence rate as high as 51.06%, the prognosis is poor. Conclusion Once the elderly patients have gastrointestinal discomfort, endoscopy should be as early as possible to confirm the diagnosis and standardization of treatment, reduce complications and recurrence rate and improve prognosis.