患者男,39岁。于入院前日晚无何诱因,突感咽部疼痛,吞咽阻挡并有异物感。突然恶心呕吐,呕出胃内容物,并呕鲜红色血液约100ml,同时吐出条状粘膜样物1条,长约30cm。吐后感咽部及胸骨后疼痛,携带呕吐物来院。既往无慢性胃肠病史,病前无暴饮史及外伤史。体检:体温37.2℃,血压150100mmHg,咽稍红,心肺未见异常,剑突下压痛, Male patient, 39 years old. On the night before admission no incentive, sudden sensation throat pain, swallowing blocked and foreign body sensation. Suddenly nausea and vomiting, vomit the contents of the stomach, and vomit red blood about 100ml, while spit out a strip of mucosal samples, about 30cm. Spit throat and chest pain after vomiting, to hospital. Past history of chronic gastrointestinal disease, history of unexplained drink and history of trauma. Physical examination: body temperature 37.2 ℃, blood pressure 150100mmHg, slightly red throat, no abnormal heart and lung, tenderness under the xiphoid,