本文报告28例门诊病人,经内窥镜及活组织检查,发现一种和消化性溃疡完全不同的新型胃溃疡。本病的发生发展可分为4期:①早期:起病急,42％的病人就诊前3～10天已有上腹不适、紧压或潴留感,内窥镜检查仅见胃体粘膜散在小片出血糜烂;②溃疡前期: 89％的患者上腹痛,伴有恶心、呕吐,10％有呕血及黑粪,本期约2～5天,内窥镜显示在胃窦粘膜有出血糜烂;③溃疡期:上腹痛缓解,镜检发现出血糜烂消失,但发展为幽门前区两侧对称性溃疡,多呈线型,有时见胃角溃疡;④疤痕愈合期:胃角溃疡先消失,继而是两侧的对称性溃疡逐一消失,通常在7周内愈合,形成疤痕。本病好发于春夏季,以青少年多见,男女比率为18:10。摄食刺激性或含有过敏原的食物,或有过度饮酒与咖啡,常为发病诱因。尿胆原阳性,至溃疡期 This article reports 28 cases of outpatients, the endoscope and biopsy, and found a completely different peptic ulcer with new gastric ulcer. The occurrence and development of the disease can be divided into four stages: ① early: acute onset, 42% of patients 3 to 10 days prior to treatment have abdominal discomfort, squeezing or retention, endoscopy only see gastric mucosa scattered in small pieces Bleeding erosions; ② ulcer: 89% of patients with abdominal pain, nausea and vomiting, 10% vomiting and black manure, the current period of about 2 to 5 days, endoscopy showed bleeding in the gastric mucosa erosion; ③ ulcers Period: upper abdominal pain relief, microscopic examination found that bleeding erosion disappeared, but the development of pyloric frontal symmetry of both sides of the ulcer, mostly linear, and sometimes see the corner of the ulcer; ④ scar healing period: the first disappearance of gastric ulcer, followed by two Side of the symmetrical ulcers disappear one by one, usually healed within 7 weeks, the formation of scars. The disease occurs in spring and summer, more common in adolescents, male to female ratio of 18:10. Ingestion of irritating or allergen-containing foods or excessive drinking and coffee are often triggers. Urobilinogen positive to the ulcer period