患者,男,64岁,病志号16640。右上臂肿痛20天,左大腿肿胀一天,于1979年11月7日第三次住院于外科。1978年1月31日患者无诱因呕吐咖啡色血液夹杂血块约1500毫升,柏油便数次,第一次住内科。检查脾肿大肋下4厘米;三次肝功及蛋白定量均正常;食道、胃、十二指肠钡透未发现病变;红细胞计数435～545万、血红蛋白13克％～15克％,白细胞13400～28000、血小板18.4万;输血、保肝等支持治疗,出血停止。诊断为肝硬化、上消化道出血。于 Patient, male, 64 years old, patient number 16640. Right upper arm swelling pain for 20 days, left thigh swelling day, on November 7, 1979 the third hospitalization in surgery. January 31, 1978 Patient no vomiting brown blood clotted blood clots about 1500 ml, asphalt several times, for the first time live in medicine. Check spleen enlargement ribs 4 cm; three liver function and protein quantification were normal; esophagus, stomach, duodenal barium found no lesions; red blood cell count 435 ~ 545, hemoglobin 13% to 15%, white blood cells 13400 ~ 28000, 184000 platelets; blood transfusion, liver and other supportive treatment, bleeding stopped. Diagnosis of cirrhosis, upper gastrointestinal bleeding. in