胃Dieulafoy病是上消化道出血罕见但最易致死的病因之一,由于临床报道较少,极易延误诊治。本校附属医院自1995年以来共收治4例,术前均未明确诊断。现报告分析如下。 1 病例介绍 例1,男,52岁。无明显诱因大量呕血、黑便2天入院。无胃病及肝炎、肝硬化史,也无上消化道出血病史。本次发病前无明显前驱症状。入院时BP11.6/7.6kPa,P115次/分。急诊胃镜检查因胃内大量积血及血凝块而未能明确诊断。急诊剖腹切开 Gastric Dieulafoy’s disease is one of the rare but most lethal causes of upper gastrointestinal bleeding. Due to its small clinical coverage, it is extremely easy to delay diagnosis and treatment. Our hospital since 1995, a total of 4 cases were treated, no clear diagnosis before surgery. The report is analyzed as follows. Case description 1 cases, male, 52 years old. No significant incentive massive hematemesis, melena 2 days admission. No stomach and hepatitis, cirrhosis, history of upper gastrointestinal bleeding. The incidence of no obvious precursor before the symptoms. Admission BP11.6 / 7.6kPa, P115 beats / min. Emergency gastroscopy due to a large number of hemorrhage in the stomach and blood clots failed to confirm the diagnosis. Emergency laparotomy