患者男,59岁。因突发呕血约500 m L首诊于消化科。病程中无腹痛,不伴意识障碍。既往有柏油样便,无消化性溃疡病史。体检:体温36.2℃,血压90/50 mm Hg(1 mm Hg=0.133 k Pa),腹平软,右中腹部可触及一直径约8 cm的包块,活动度尚可,无明显压痛。 Male patient, 59 years old. Due to sudden hematemesis about 500 m L first consultation in the Department of Gastroenterology. No abdominal pain during the course of illness, not associated with disturbance of consciousness. In the past there was a tarry stool, no history of peptic ulcer disease. Physical examination: The body temperature was 36.2 ℃ and the blood pressure was 90/50 mm Hg (1 mm Hg = 0.133 kPa). The abdomen was soft and the midline abdomen could reach a mass of about 8 cm in diameter. The activity was acceptable and no tenderness was found.