大约50%的肝硬化病人有食管静脉曲张,但其中仅有一部分会发生出血并需要治疗.预测哪种病人会发生出血将具有重要的治疗意义。病人和方法:作者分析了92例肝硬化患者,观察食管静脉曲张与蜘蛛痣的关系.所有病例均为男性,以前均未作过硬化剂及手术治疗。其中31例是第一次出血,在出血10天内作皮肤检查,61例无出血者作为对照。90%是酒精性肝硬化.所有病人均通过食管胃镜检查。根据曲张静脉向 Approximately 50% of patients with cirrhosis have esophageal varices, but only a fraction of them develop bleeding and require treatment, and predicting which type of bleeding will occur is of major therapeutic importance. PATIENTS AND METHODS: The authors analyzed 92 patients with cirrhosis and observed the relationship between esophageal varices and spider nevi. All cases were male and none of them had previously been treated with sclerotherapy and surgery. Of these, 31 were bleeding for the first time, with a skin examination within 10 days of bleeding and 61 without bleeding as a control. 90% of patients with alcoholic cirrhosis. All patients underwent esophagoscopy. According to varicose veins to