1　病例介绍患者女 ,5 0岁。因突然呕血、便血 ,当地医院保守治疗无效转来我院内科。 3年前类似发病一次 ,保守治疗治愈。此次发病呕血三次约 15 0 0ｍｌ,伴血便。无剧烈腹痛 ,不伴返酸、嗳气。贫血貌 ,剑突下有压痛 ,无其它阳性体征。血红蛋白 35 ｇ/Ｌ ,红细胞 1.8× 10 12 / 1 case description Female patient, 50 years old. Due to a sudden hematemesis, blood in the stool, the local hospital conservative treatment ineffective transfer to our hospital. 3 years ago, a similar incidence, conservative treatment of cure. The incidence of vomiting three times about 15 0 0ml, with bloody stool. No severe abdominal pain, not accompanied by acid, belching. Anemia appearance, under the xiphoid tenderness, no other positive signs. Hemoglobin 35 g / L, erythrocytes 1.8 × 10 12 /