患者男性 ,38岁。因上腹痛伴呕血 10d ,加重 2d于2 0 0 1- 0 1- 18入院。患者于 10d前进食较多肉菜及少量饮酒后开始腹痛 ,为持续性隐痛 ,伴恶心、呕吐咖啡色液体 ,至入院前 2d转为剧烈腹痛伴腹胀难忍 ,下蹲或屈膝侧卧位时稍舒服 ,5d来未大便。在外院诊断为“消化性溃疡合并上 Male patient, 38 years old. Due to upper abdominal pain with hematemesis 10d, increased 2d admission at 2 0 0 1- 0 1- 18. Patients in the 10d before eating more meat dishes and a small amount of alcohol started after abdominal pain, persistent pain, nausea and vomiting brown liquid to 2d before admission to severe abdominal pain with abdominal distention, squatting or knees lateral position slightly comfortable , 5d to not stool. In the hospital diagnosed as "peptic ulcer merger