The night shift last night was sleepless. More than 8 pm received a patient with gastrointestinal bleeding, 41 years old, male, with hypertension for 10 years, hepatitis B for many years, the usual physical condition can be, no discomfort, but also rarely go to the hospital, liver function is not known. The cause, quarrel with his wife at night, agitation, vomiting several mouthfuls of blood, such as is the case 3, family members sent to the emergency department, no discomfort when coming to the hospital, blood pressure respiratory heart rate is normal, but consider the new issue of blood, transferred to the ICU. After transfer to check the blood routine, normal, continue to give rehydration, small doses of blood transfusion, to be left in a deep vein tube for backup. The patient’s condition was stabilized by hemostasis, blood transfusion, and rehydration, and the family was told to continue observation, and emergency gastroscopy or surgery was required if hemostasis was not effective. At about 1:00 a.m., the patient suddenly vomited blood, which was flowing like a gush, and it was difficult to distinguish the mouthfuls of vomited blood, which came out like a spring, and the blood pressure dropped sharply. The patient was given a history of hepatitis B. He was given a three-lumen, two-bladder tube to stop the hemorrhage, and emergency gastroscopy was performed. The gastroscopy suggested esophageal varices in the fundus, ready to see the bleeding site, and the compression balloon in the fundus deflated a little, blood gushed out again, because of the large amount of blood, a little aspiration into the lungs, considering the critical situation, terminate the gastroscopy, immediately tracheal intubation ventilator assisted ventilation, continue the three-lumen two-cylinder tube compression to stop bleeding. Again in this process, 4 nurses took rehydration, infusion, blood transfusion, blood sampling, gastric lavage, plus 2 doctors on duty to assist, each in a running state, lest the fluid infusion is not timely, as is about 3 hours. At about 5:00, the blood pressure gradually stabilized, informing the family that the bleeding was too large, roughly estimated at about 5,000 ml, the situation was difficult to estimate accurately, and the fierce bleeding was the first I had seen in more than 10 years of medical practice. The risk of surgery was high, and the family said that they would not operate for the time being and would continue to observe. The next day at 9:00, the bleeding again, blood pressure began to fall, continue to resuscitate. I told the family that although the risk of surgery was high, it was the only means, but the family again did not agree to surgery. At 12:30, one of the family members began to hesitate, saying that they wanted to operate, and as of the end of my shift, it had not been decided whether to operate. Zhuge Liang scolded Wang Lang to death, when Wang Lang was screaming, spitting blood and fell under the horse, how similar to this scene. When the patient was awake, I still joked with the patient that he should not quarrel with his wife, and the patient did not recognize it yet. If the patient was saved, he would have agreed with me that he should not quarrel with his wife. However, now his life is hanging by a thread, whether he has the opportunity to repent or not is not known. Wish him luck! Emotional excitement, especially negative emotions, the harm to the body, can lead to irreparable harm, we are not grass, dare to be inevitable, but then, do not cling!