系统性红斑狼疮 (ＳＬＥ)累及肠系膜血管引起的胃肠道症状较少见 ,本文报道症状不典型 5例 ,以期引起注意[1] 。一、临床资料例 1　患者女 ,2 7岁。以往无溃疡病史 ,于 1989年 3月13日出现中上腹不适 ,因呕血、黑粪来我院急诊 ,查大便隐血(+++) ,给予止血及一般处理后效果欠佳 Systemic lupus erythematosus (SLE) involving mesenteric vessels caused by gastrointestinal symptoms are rare, this article reports atypical in 5 cases, in order to attract attention [1]. First, the clinical data 1 patients female, 27 years old. In the past without a history of ulcer, on March 13, 1989 appeared in the upper abdominal discomfort, due to hematemesis, black droppings to our hospital emergency, check the stool occult blood (+++), given to stop bleeding and poor general treatment