1病例报告患者男,33岁,企业职工,入院前1小时呕吐鲜血约1000ml,混有血凝块,伴意识丧失、抽搐以及双眼上翻,数分钟后缓解,家人打电话给我院急救中心,救护车接入院。体格检查:T36.1℃、P96次/分、R22次/分、BP80/50mmHg呼吸急促,神志清,可对答,急性贫血面容,头颅五官、颈部、双肺 1 case report Male, 33 years old, enterprise workers, vomit blood about 1 hour before admission, about 1000ml, mixed with blood clots, loss of consciousness, convulsions and eyes up, a few minutes after the relief, family members call our emergency center Ambulance access hospital. Physical examination: T36.1 ℃, P96 beats / min, R22 beats / min, BP80 / 50mmHg shortness of breath, clear consciousness, can answer, acute anemia, facial features, neck, lungs