病历摘要患者40岁,农村妇女,住院号174876。1979年10月17日入院。入院前1个月右侧肢体麻木无力,伴上腹剧痛,在某医院诊治,肌注青链霉素无效,右侧偏瘫逐渐加重,半个月后卧床不起。4天前突然左上腹剧痛,呕吐大量咖啡样物及排柏油样便,同时右侧 Patient history 40 years old, rural women, hospital number 174876. On October 17, 1979 admission. 1 month before admission, the right limb numbness, accompanied by abdominal pain, diagnosis and treatment in a hospital, intramuscular injection of streptomycin invalid, gradually increased right hemiplegia, half bedridden. Suddenly left upper abdomen pain suddenly 4 days ago, vomit a lot of coffee-like samples and Pai Pao like, while the right