胃平滑肌瘤引起上消化道大出血,临床少见,我院曾收治一例,现报告如下:病历摘要:患者男,44岁.因突然吐暗红色血液二次约1000ml,伴头昏,心慌4小时,以上消化道出血收入我院.患者平素身体健康,无溃疡病和肝炎病史.体检:T36.8,P116,Bp80/60.重度贫血貌,神志清楚,巩膜无黄染,心肺听诊无异常,腹软,无压痛,肝脾肋下未及,肠鸣音少,腹水征阴性.血常规:Hb 60g/L,RBC 2.1×10~(12)/L.WBC 7.1×10~(?)/L.入院当天做纤维胃镜检查,见胃体部粘膜皱襞增粗,并见少许点片状糜烂,胃底部可见少量淡黄色潴留液,未见活动性出血.入院48小时后,病人又解柏油样黑便二次约600ml,并呕血数次共约800ml,出血六小时后再次做纤维胃镜检查见胃体小弯侧粘膜有少许点片状糜烂、出血,并见数个陈旧性出血点,胃腔略变形,潴留液少,呈淡黄色,仍未见活动性大出血, Gastric leiomyoma caused by upper gastrointestinal bleeding, clinical rare, our hospital had admitted a case, are as follows: Medical records summary: The patient male, aged 44. Due to sudden spit dark red blood about 1000ml, with dizziness, palpitation for 4 hours , The above digestive tract bleeding income in our hospital.Patients usually healthy, non-ulcer disease and history of hepatitis.Physiological examination: T36.8, P116, Bp80 / 60. Severe anemia appearance, clear consciousness, sclera no yellow dye, no abnormal heart and lung auscultation, Abdominal soft, no tenderness, liver and spleen not under the ribs, bowel sounds less, signs of negative ascites.Routine blood: Hb 60g / L, RBC 2.1 × 10 ~ (12) /L.WBC 7.1 × 10 ~ L. On the day of admission to do fiber endoscopy, see the body part mucosal folds thickening, and see a little flake erosion, the bottom of the stomach visible a small amount of light yellow retention solution, no active bleeding.After admission 48 hours, the patient again Asparagus black second about 600ml, and hematemesis several times a total of about 800ml, six hours after the bleeding fibrin gastroscopy again to see the lesser curvature side of the mucosa a little flake erosion, bleeding and see a number of old bleeding points , Stomach cavity slightly deformed, retention fluid less, was light yellow, still no active bleeding,