胃溃疡大出血可以引起急性周围循环衰竭、急性肾功能衰竭甚至多脏器功能衰竭,但并发脑梗塞少见,现报告1例。患者男性,59岁。因反复上腹部隐痛30年,呕血、黑便12小时于1990年5月17日入院。上腹部痛为饥饿性,伴嗳气、泛酸。入院前5天上述症状再发,入院当天晨6时解黑便2次,约70ml,呕咖啡色液体约200ml。体检:T36.8℃,P100次/分,BP16.6/10.6kPa,神志清,贫血貌,心肺听诊正常, Gastric ulcer bleeding can cause acute peripheral circulatory failure, acute renal failure and even multiple organ failure, but complicated by cerebral infarction rare, is reported in 1 case. Male patient, 59 years old. Due to repeated upper abdominal pain for 30 years, hematemesis, melena 12 hours in May 17, 1990 admission. Abdominal pain for hunger, with belching, pantothenic acid. Five days before admission, the recurrence of the above symptoms, on the morning of admission 6:00 black solution will be 2 times, about 70ml, vomit brown liquid about 200ml. Physical examination: T36.8 ℃, P100 beats / min, BP16.6 / 10.6kPa, clear consciousness, anemia appearance, cardiopulmonary auscultation normal,