为探讨食管静脉曲张结扎治疗后再出血的规律及相关因素，对７５例肝硬化食管静脉曲张结扎治疗后患者，随访５～２４个月，对２５例再发出血的患者进行分析。本组再发出血率为３３％，半年内再发者占８３７％，小量出血者占４８８％，２１例３９次再出血，经积极治疗好转，４例无效死亡。结论：①再发出血与静脉曲张消失和基本消失率低、术前是否行脾切除及术后胃食管酸反流阳性有关，②结扎后宜每３月复查一次及时处理静脉曲张复发以减少再出血机会。 To explore the rule of rebleeding after esophageal varices ligation and related factors, 75 patients with cirrhosis after esophageal varices ligation were followed up for 5-24 months, and 25 patients with recurrent hemorrhage were analyzed. In this group, the rate of recurrent hemorrhage was 33%. Within 6 months, 83.7% were recurrent, 48.8% were minor hemorrhage, and 39 were rebleeding in 21 cases. After active treatment, 4 cases died. Conclusions: (1) The recurrence of bleeding and varicose veins disappear and the basic disappearance of low, preoperative splenectomy and postoperative gastroesophageal reflux syndrome, ② after ligation should be reviewed once every 3 months in a timely manner to reduce the recurrence of varicose veins Bleeding opportunity.