上消化道大出血是指在数小时内失血量超过 10 0 0ml或超出血容量的 2 0 %以上并伴有血容量减少所引起的急性周围循环衰竭症状[1 ] 。临床上的突出表现是大量呕血和黑便或血便、血压下降≤ 12kPa ,脉搏≥ 10 0次 /分。这类病人发病急骤、病势凶险 ,内科保守治疗效果差 ,外科手术 Upper gastrointestinal bleeding refers to the amount of blood loss within a few hours over 10 0ml or excess blood volume of more than 20% accompanied by hypovolemia caused by acute peripheral circulation failure symptoms [1]. Outstanding clinical manifestations of massive hematemesis and melena or bloody stool, blood pressure decreased ≤ 12kPa, pulse ≥ 10 0 beats / min. The incidence of these patients is abrupt, dangerous, medical conservative treatment is poor, surgery