Conclusions The major reasons of upper gastrointestinal bleeding in geriatrics to collect patient history in detail, conduct physical examination fully and take route stool occult blood test.

• 结论老年人上消化道出血患者首先考虑消化性溃疡，同时警惕胃癌的存在；详细询问病史，全面体格检查，常规进行大使隐血试验，早做胃镜明确诊断；