患者男,72岁。因上腹隐痛、呕血半天,于1985年10月3日入院。于入院前3天吃1个苹果后,自感口渴、尿量增多、全身乏力。曾于1978年发现糖尿病后,长期服用消渴丸、优降糖,故曾于又加服降糖灵50mg,每日3次。3天后自觉上腹不适、隐痛,呕吐咖啡色样物5次,总量约300ml。检查:体温36.8℃,脉搏88次/分,血压120/80mmHg。神清,无贫血貌。心 Male patient, 72 years old. Because of abdominal pain, hematemesis half a day, on October 3, 1985 admission. 3 days before admission to eat an apple, self-feeling thirst, increased urine output, malaise. Diabetes was found in 1978, the long-term consumption of Xiaoke pills, hypoglycemic, it was added plus hypoglycemic 50mg, 3 times a day. 3 days after consciously abdominal discomfort, pain, vomit coffee samples 5 times, the total amount of about 300ml. Check: body temperature 36.8 ℃, pulse 88 beats / min, blood pressure 120 / 80mmHg. God clear, no anemia appearance. heart