病历摘要:男,39岁。住院号106686,1984年9月10日入院。患者从20年前起常有上腹部不适感,伴恶心。1965年于疲劳后解柏油样便2～3次/日,量50～100ml,持续3～4天,并呕吐咖啡样物1次,约20～30ml。胃肠透视示“胃粘膜脱垂”,经内科疗法治疗,大便色转黄,症状消失。1970年和1976年,两度再现黑便,伴上腹部阵发性疼痛和意识障碍(4～5分 Medical record summary: Male, 39 years old. Hospital No. 106686, September 10, 1984 admission. Patients from 20 years ago often have upper abdominal discomfort, with nausea. In 1965 after the solution of the asphalt solution after fatigue 2 to 3 times / day, the amount of 50 ~ 100ml, for 3 to 4 days, and vomit coffee samples 1, about 20 ~ 30ml. Gastrointestinal fluoroscopy showed “gastric mucosal prolapse,” medical therapy, stool color turn yellow, the symptoms disappear. In 1970 and 1976, it was twice as black, accompanied by paroxysmal abdominal pain and disturbance of consciousness (4 to 5