患者女,52岁,闭经4年,因上腹部疼痛伴发热六天,黑便、阴道流血五天于1995年元月17日入本院。患者因脑动脉硬化于1月4日在团医院静滴精制腹蛇抗栓酶0.75~μ每日一次,11日下午4时无原因突感上腹部疼痛伴恶心、呕吐,呕吐物为胃内容物共两次,当晚出现发热,给予胃复安、柴胡治疗,次日晨腹痛加剧,排黑色稀便2～3次/日,并见阴道流血。16日发现上腹部有一10×15cm包 Female patient, 52 years old, amenorrhea for 4 years, due to upper abdominal pain with fever for six days, melena, vaginal bleeding for five days January 17, 1995 into our hospital. Patient due to cerebral arteriosclerosis in the hospital on January 4 intravenous infusion of abdominal snake antithrombin enzyme 0.75 ~ μ once a day, at 11 o’clock on the 11th no reason sudden sensation Upper abdominal pain with nausea, vomiting, vomit for the stomach content A total of two times the night there was fever, given metoclopramide, Bupleurum treatment, abdominal pain intensified the next morning, row of black loose stool 2 to 3 times / day, and see vaginal bleeding. On the 16th found the upper abdomen has a 10 × 15cm package