Objective the clinical diagnosis and the features of peptic ulcer in the elderly were analyzed, to provide theoretical reference for the clinical treatment of. Method the subjects were divided in aged group (aged ≥ 60 years) in 221 cases, non elderly group (control group) 399 cases,comparative observation of elderly peptic ulcer clinical symptoms, ulcer location, complications and concomitant diseases, observation data. Results the two groups of patients with clinical symptoms (the main symptoms, symptoms, complications), ulcer location, with the diseaseindexes had significant or very significant difference (P﹤0 01, P﹤0 001). Conclusion elderly PU patients should be early diagnosis, early treatment, improve prognosis, decrease the mortality rate.