目的分析探讨肝源性溃疡患者的临床特点,临床诊断及治疗情况。方法回顾性分析26例肝源性溃疡患者的临床资料。结果消化道出血21例,非出血者5例。内镜检查可见胃或十二指肠有活动性出血和(或)有血痂附着的溃疡病灶。21例溃疡出血患者采用内镜治疗,3例患者转入外科行外科手术治疗。结论肝源性溃疡的发生率高,临床症状不典型,常以上消化道出血为首发症状。内镜检查是肝源性溃疡出血确诊的主要依据。 Objective To analyze the clinical characteristics, clinical diagnosis and treatment of patients with liver-derived ulcer. Methods The clinical data of 26 patients with liver-derived ulcer were retrospectively analyzed. Results of gastrointestinal bleeding in 21 cases, non-bleeding in 5 cases. Endoscopic examination showed active bleeding in the stomach or duodenum and (or) blood ulcer attached ulcer lesions. Twenty-one patients with ulcerated hemorrhage were treated with endoscopy and three patients were surgically surgically treated. Conclusions The incidence of liver-derived ulcer is high, the clinical symptoms are not typical, and often the upper gastrointestinal bleeding is the first symptom. Endoscopy is the main basis for the diagnosis of hemorrhaged liver ulcer.