患者,女,59岁,缘于1999年8月初无诱因出现乏力、纳差,偶有低热,伴尿黄,呈浓茶色,未行特殊诊治。10月8日,患者进质硬食物后自觉上腹胀痛,呕鲜红色血液约150ml,在当地医院行止血治疗(用药不详)后仍间断排黑便,为进一步诊治于13日入我院。入院时查体见患者呈慢性肝病病容,贫血貌。全身皮肤、巩膜轻度黄染。心肺未见异常。腹膨隆,左上腹压痛,无反跳痛,肝脾肋弓下未及,莫菲氏征阴性,肝区无 Patients, female, 59 years old, due to no incentive in early August 1999, fatigue, anorexia, occasional fever, with urine yellow, was dark brown, no special diagnosis and treatment. October 8, the patient into the hard abdominal pain after consciously abdominal pain, vomit bright red blood of about 150ml, stop bleeding in the local hospital treatment (medication unknown) is still intermittent black melatonin, for further diagnosis and treatment on the 13th into our hospital . Check on admission to see patients with chronic liver disease, anemia appearance. Systemic skin, scleral mild yellow dye. Heart and lung no abnormalities. Abdominal bulge, left upper quadrant tenderness, no rebound pain, liver and spleen ribs under the bow, Murphy’s sign negative, no liver area