自 1990年 3月～ 2 0 0 1年 1月 ,我院经胃镜诊断的食管贲门粘膜撕裂综合征患者 4 8例 ,占同期上消化道出血病例的 2 5 % ,现报告如下。1　临床资料4 8例中男 34例 ,女 14例 ;年龄 18～ 78岁 ,平均4 5岁 ,其中 30～ 5 0岁 34例 ,占 70 8%。 4 8例均为恶心、呕吐 ,胃内压骤然 From March 1990 to January 2001, 48 cases of esophageal and gastric cardial tearing syndrome diagnosed by gastroscopy in our hospital accounted for 25% of cases of upper gastrointestinal bleeding in the same period. The report is as follows. 1 Clinical data 48 cases of 34 males and 14 females; aged 18 to 78 years, mean 45 years, of which 30 to 50 years 34 cases, accounting for 70.8%. 48 cases were nausea, vomiting, stomach pressure suddenly