患者 ,男 ,2 4岁 ,因反复腹痛 1年 ,加重伴呕血、黑便 4ｈ入院。 1年来 ,患者无明显诱因出现腹痛 ,以下腹为主 ,偶有低热、盗汗。近半年患者逐渐感腹痛集中于上腹 ,胃镜检查示“慢性浅表性胃炎”。入院前 4ｈ ,无明显诱因呕吐咖啡色有内容物2 0 0ｍｌ。入科后查体 :脉搏 10 6次 Patients, male, 24 years old, because of repeated abdominal pain for 1 year, increased with hematemesis, melena 4h admission. 1 year, no obvious incentive for patients with abdominal pain, lower abdomen-based, occasional fever, night sweats. Nearly half of patients with abdominal pain gradually focus on the upper abdomen, gastroscopy showed “chronic superficial gastritis.” 4h before admission, no obvious incentive to vomit brown content of 2 0 0ml. After examination subjects: pulse 10 6 times