患者男,72岁。因上腹部疼痛半年,加重伴呕吐1个月入院。患者半年前无明显诱因出现上腹部隐痛,伴反酸、嗳气、呃逆,疼痛无明显规律且进行性加重,自服“三九胃泰,斯达舒”等效果不佳。1个月前出现频繁的恶心、呕吐,呕吐物为胃内容物及黄色胆汁样液体,偶有少许咖啡样液体,无伴发热 Male patient, 72 years old. Due to pain in the upper half of six months, aggravated with vomiting 1 month admission. Six months ago, no obvious incentive for patients with upper abdominal pain, with acid reflux, belching, hiccups, pain without obvious rules and progressive increase, self-service, “Sanjiuweitai, Starburst,” and other ineffective. 1 month ago, frequent nausea, vomiting, vomit for the stomach contents and yellow bile-like liquid, occasionally a little coffee-like liquid, without fever