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目的：通过对确诊的胃癌病例中有明显消化道出血者进行分析，观察其临床特点，探讨诊治方法。方法：总结有明显消化道出血的胃癌病例的临床表现特点，观察其病理分型、治疗方法及治疗效果。结果：胃癌出血的病例多为Ⅱｃ，Ⅱｃ＋Ⅲ及ＢｏｒｒｍａｎｎⅡ、Ⅲ。临床特点多数有黑便史，少数表现为急性出血。而这其中又多为溃疡型胃癌，手术治疗效果确切。结论：胃癌出血多为慢性失血，少数为急性出血。钡餐及纤维胃镜有重要诊断价值，手术为首选治疗方法。本文提出５种手术方式。
OBJECTIVE: To analyze the gastrointestinal bleeding in patients with confirmed gastric cancer, observe its clinical features, and discuss the diagnosis and treatment methods. Methods: To summarize the clinical features of gastric cancer cases with obvious gastrointestinal bleeding and observe its pathological classification, treatment methods and treatment effects. Results: The cases of gastric cancer bleeding were mostly IIc, IIc+III and Borrmann II, III. Most of the clinical features of black urine history, a small number of manifestations of acute bleeding. Of these, many of them are ulcerative gastric cancers, and the surgical treatment is effective. Conclusion: Most bleeding in gastric cancer is chronic blood loss, and a few are acute bleeding. Barium meal and fiber endoscopy have important diagnostic value, and surgery is the preferred treatment. This article presents five surgical methods.