食管静脉曲张（esophagealvarices，EV）破裂出血是肝硬化患者的主要并发症及死亡原因，内镜下食管静脉曲张结扎治疗（EVL）与硬化治疗（EVS）是控制食管静脉曲张破裂急性出血及防止再出血的有效方法犤１犦。但对于既往无出血史的食管静脉曲张患者是否应采用内镜治疗预防首次出 Esophageal varices (EV) rupture hemorrhage is the main complication and cause of death in patients with cirrhosis. Endoscopic esophageal varices ligation (EVL) and sclerotherapy (EVS) is the control of acute bleeding of esophageal varices and prevent Effective method of bleeding 犤 1 犦. But for the past without history of bleeding in patients with esophageal varices should use endoscopic treatment to prevent the first time out