为明确哪一类消化性溃疡出血患者不宜行内镜止血治疗而应早期行手术治疗,本文分析了内镜治疗失败的危险因素,以期找出与内镜治疗失败相关的因素。 病人和方法:1989～1992年,对326例消化性溃疡大出血患者行内镜止血治疗,其中167例有活动性出血,159例有非出血性血管显露,所有患者均至少具下列危险因素之一,年龄>60岁,入院时Hb<10g/dl,或有休克(脉搏>100/min,收缩压<100mmHg)。采用 In order to determine which type of patients with peptic ulcer bleeding should not endoscopic treatment of hemostasis should be treated early surgery, this paper analyzes the risk factors for failure of endoscopic treatment in order to find out the factors associated with failure of endoscopic treatment. Patients and Methods: From 1989 to 1992, 326 patients with peptic ulcer hemorrhage underwent endoscopic hemostasis, of whom 167 had active hemorrhage and 159 had non-hemorrhagic vascular findings. All patients had at least one of the following risk factors , Age> 60 years, Hb <10g / dl on admission, or shock (pulse> 100 / min, systolic blood pressure <100mmHg). use