食管胃底静脉曲张破裂出血是肝硬化患者常见并发症 ,其发病率及病死率较高。常见治疗手段有药物治疗、内镜治疗、外科手术治疗、介入治疗及综合治疗。笔者根据近几年国内外治疗进展 ,对各种治疗方法应用、选择以及治疗效果进行综述 ,认为各种治疗方法各有所长 ,方法的选择取决于患者的状态、医院条件和个人经验 ,首选何种方法尚待探索有效的规范化方案 Esophageal and gastric variceal bleeding is a common complication in patients with cirrhosis, its morbidity and mortality is high. Common treatment methods are drug treatment, endoscopic treatment, surgical treatment, interventional therapy and comprehensive treatment. According to the progress of treatment at home and abroad in recent years, the author summarizes the application, selection and treatment effects of various treatment methods and considers that the treatment methods have their advantages and disadvantages. The choice of method depends on the patient’s condition, hospital conditions and personal experience, and is preferred What method is yet to explore the effective standardization program