In emergency clinic, he was found pale, and dispigmentation of the nail and lips of the mouth. Slight tenderness over epigastric region, heart beat 120/min, stool tarry like, occult blood test showed strong positive.

• 在急诊室，病人被发现苍白、指甲和嘴唇脱色。上腹部轻度压痛，心率120次/分，大便柏油样，潜血试验强阳性。