[目的]探讨内镜下急诊套扎治疗食管静脉曲张破裂出血的疗效及安全性。[方法]选择2010年10月~2013年12月的69例食管静脉曲张出血患者,在急诊状态下行内镜套扎治疗,观察疗效、并发症、再出血率及套扎术对生命体征的影响。[结果]急诊止血成功率98.6%(68例)、并发症发生率1.4%(1例)、近期再出血率4.3%(3例),套扎术过程对血压、心率、呼吸等生命体征无明显影响。[结论]急诊食管静脉曲张套扎术治疗食管静脉曲张破裂出血是一种有效、安全、快捷的止血方法。 [Objective] To investigate the efficacy and safety of endoscopic emergency ligation in the treatment of esophageal variceal bleeding. [Methods] Sixty-nine patients with esophageal variceal bleeding from October 2010 to December 2013 were enrolled in this study. Endoscopic ligation was performed in the emergency department to observe the effect, complications, rate of rebleeding and the effect of ligation on vital signs . [Results] The success rate of emergency hemostasis was 98.6% (68 cases), the complication rate was 1.4% (1 case) and the rate of rebleeding was 4.3% (3 cases). The ligation process had no significant effect on the blood pressure, heart rate, respiration and other vital signs Clearly affected. [Conclusion] Emergency esophageal variceal ligation for the treatment of esophageal variceal bleeding is an effective, safe and efficient hemostasis method.