食管静脉曲张多见于门脉高压,而少见于无门脉高压的情况。门脉高压可分为肝内阻塞型(最常见为肝硬化)和肝外阻塞型。作者发现一例食管静脉曲张破裂出血致死,既无肝硬化也无肝外阻塞,现报导如下。病例报告患者男性,11岁,住院号7709597,于1977年9月22日入院。因40天前出现不规则高热,伴轻咳及头痛,体检中发现肝脾肿大,疑为“传单”及“白血病”转来我院。追问病史, Esophageal varices more common in portal hypertension, and rare in the absence of portal hypertension. Portal hypertension can be divided into intrahepatic obstruction (the most common cirrhosis) and extrahepatic obstruction. The authors found a case of esophageal variceal bleeding died, neither liver cirrhosis nor extrahepatic obstruction, are reported as follows. Case Report Male patient, 11 years old, hospital number 7709597, was admitted on September 22, 1977. Due to the irregular hot fever 40 days ago, with light cough and headache, physical examination found hepatosplenomegaly, suspected “leaflets” and “leukemia” transferred to our hospital. Ask history,