Objective To explore the diagnostic and therapeutic value of early endoscopy in upper gastrointestinal hemorrhage. Methods 143 upper gastrointestinal hemorrhage patients were examined and treated by early endoscopy. Results 141 cases upper gastrointestinal hemorrhage patients were recovered with endoscopy, but 2 cases were of no effect so changed with operation. Conclusion Early endoscopy is a kind of convenient, easy and safe method in diagnosis and treatment of upper gastrointestinal hemorrhage.