患者 ,男 ,2 9岁 ,青海省海西州德令哈市人 ,世居青海 ,农民。患者于就诊前 2个月感上腹部隐痛伴腹胀 ,尤其在饱餐后更甚 ,虽经中医治疗 ,但病情仍渐加剧。于就诊前一月 ,出现恶心、呕吐、吐咖啡样物。于就诊前一周进软食困难 ,甚至饮水也常吐出 ,同时出现全身乏力、食欲低下、 Patient, male, 29 years old, was born in Delingha City, Haixi Prefecture, Qinghai Province, where he lived in Qinghai and peasants. The patient felt abdominal pain and bloating 2 months before the consultation, especially after eating, and although treated with traditional Chinese medicine, the condition was still getting worse. In the month before the visit, there was nausea, vomiting, and coffee-like substances. One week before attending a soft diet, even drinking water often vomits out. At the same time, there is malaise, low appetite,