上消化道大出血是临床上常见急症之一，由于在数小时内失血量超过1000ml或循环血容量的20％，往往引起急性周围循环衰竭——失血性休克或急性肾功能衰竭而死亡，但并发脑梗死者较少见，现报告2例。1病历简介例1：男，34岁。因胃溃疡病史5～6年，呕血、便血2天，伴意识障碍4h入? Upper gastrointestinal hemorrhage is one of the most common clinical emergency, due to the amount of blood loss within 1000 hours or 20% of circulating blood volume, often causing acute peripheral circulatory failure - hemorrhagic shock or acute renal failure and death, but the concurrent Less common in patients with cerebral infarction, are reported in 2 cases. 1 medical records brief introduction Example 1: male, 34 years old. Due to a history of gastric ulcer 5 to 6 years, hematemesis, blood in the stool 2 days, with disturbance of consciousness 4h?