1 病例报告男,36岁。因上腹饱胀感较重,继而恶心呕吐含血及凝血块胃内容物约1200ml,于1994-12-30急诊入院。查体:一般情况较好,BP12/9kPa,P88次/min。精神不振,表情淡漠疲乏,体较胖,皮肤苍白,检查腹部可见上腹正中瘢痕1条,长约12cm,宽约0.6cm,触软,剑下明显压痛,无放射疼及反跳痛,旰 1 Case report Male, 36 years old. Due to heavier sense of fullness in the abdomen, followed by nausea and vomiting of about 1200 ml of blood and blood clot contents, he was admitted to the hospital in an emergency from December 1994 to December 30th. Physical examination: Generally good, BP12/9kPa, P88/min. Loss of energy, indifferent facial expression, tired body, pale skin, examination of the abdomen, a median scar in the abdomen, a length of about 12cm, width of about 0.6cm, soft touch, tenderness under the sword, no radiation pain and rebound tenderness,