患者，男，64岁。住院号217254.因上腹不适一周伴呕血、黑便2天于1992年10月6日入院。患者既往有“胆囊炎、胆石症”史10余年。9月28日起上腹疼痛不适并向肩背部放射，自服“消炎利胆片”及“去痛片”等药止痛。最多一日服“去痛片”9片。于10月5日出现呕血，总量约500ml。10月 Patient, male, 64 years old. Hospitalized 217 217 due to abdominal discomfort week with hematemesis, black stool 2 days in October 6, 1992 admission. Past patients have “cholecystitis, cholelithiasis” history of more than 10 years. On September 28, upper abdominal pain and discomfort and radiation to the shoulder, self-serving “anti-inflammatory gallbladder tablets” and “pain tablets” and other drugs pain. Up to one day to “painkillers” 9 tablets. In vomit blood on October 5, the total amount of about 500ml. October