目的了解柳州市柳南区消化系统疾病死因。方法收集2003年1月～2010年8月在我院消化科死亡的患者,记录他们的性别,年龄及死亡原因。结果我院消化科死亡的178人中,51人死于肝癌晚期,是死亡的最主要原因,28人死于消化道出血,27人死于胃癌晚期,22人死于肝性脑病,14人死于大肠癌晚期,8人死于食道癌晚期,另有7人死亡原因临床推断为消化道肿瘤(无直接证据),少见的死因有胰腺癌、重症胰腺炎等。结论 178例死亡患者中,最主要的死因是肝癌,依次是消化道出血、胃癌、肝性脑病。 Objective To understand the causes of digestive diseases in Liuzhou District of Liuzhou City. Methods Patients who died of digestive diseases in our hospital from January 2003 to August 2010 were collected and their gender, age and cause of death were recorded. Results Among the 178 patients died of gastroenterology in our hospital, 51 died of advanced stage of liver cancer, which was the leading cause of death. 28 people died of gastrointestinal bleeding, 27 died of advanced gastric cancer, 22 died of hepatic encephalopathy and 14 Died of advanced colorectal cancer, 8 died of advanced esophageal cancer, and 7 others were clinically diagnosed as gastrointestinal cancer (no direct evidence), rare causes of pancreatic cancer, severe pancreatitis and so on. Conclusion Among the 178 deaths, the most important cause of death is liver cancer, followed by gastrointestinal bleeding, gastric cancer and hepatic encephalopathy.