患者男, 18岁。主因间歇性上腹痛 7d,伴呕血、便血、尿黄入院。入院前 7d无明显诱因出现间歇性上腹痛、恶心、厌油,呕血、便血 1次。呕吐物为咖啡色样物,量约 300ml。解暗红色血便 2次,量约 150ml。尿色黄,呈茶色。门诊以上消化道出血收住。查体:皮肤巩膜中度黄染,无肝掌、蜘蛛 Patient male, 18 years old. Mainly due to intermittent abdominal pain 7d, with hematemesis, blood in the stool, urine yellow admission. 7d before admission there was no obvious incentive for intermittent upper abdominal pain, nausea, tired of the oil, hematemesis, blood in the stool 1 time. Vomit for brown samples, the amount of about 300ml. Solutions dark red bloody stool 2 times, the amount of about 150ml. Urine yellow, brown. Outpatient and above gastrointestinal bleeding admitted. Physical examination: skin sclera moderate yellow dye, liver palms, spiders