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EVL治疗食管静脉曲张破裂出血39例，结扎时活动性大出血34例，5d内出血5例。39例进行102次963处结扎，其中29例经2～5次密集结扎后15例食管静脉曲张消失，显效率51．7％，13倒退缩到I度，总有效率96．6％。34例活动姓大出血患者40次紧急结扎，40例次立即止血，2例72h内再出血，急诊止血率95％。39例中肝功能ChildC级17例，占43．6％，均能安全接受治疗，水后无1例并发症及肝功能损害加重。存活34例，15例恢复工作。13例14～23月（平均18．4月）复查，2例复发食管静脉曲张再行EVL。EVL治疗食管静脉曲张破裂出血疗效确切、安全、操作简便。
EVL treatment of esophageal variceal bleeding in 39 cases, 34 cases of active bleeding in ligation, bleeding within 5d in 5 cases. Of 39 cases, 963 ligation were performed 102 times. Among them, 15 cases of esophageal varices disappeared in 29 cases after 2 ~ 5 intensive ligation. The effective rate was 51.7%. The total effective rate was 96.6%. Thirty-four patients with active major bleedings were given emergency ligation 40 times, immediate hemostasis was performed in 40 cases, rebleeding occurred in 72 cases in 2 cases, and bleeding rate in emergency department was 95%. Among 39 cases, 17 cases were liver function ChildC grade, accounting for 43.6%. All of them were safely treated. There was no complication of complications and hepatic dysfunction in water. Survival in 34 cases, 15 cases of recovery work. Thirteen patients were retrospectively reviewed from 14 to 23 months (average 18.4 months). Two patients with recurrent esophageal varices underwent EVL. EVL treatment of esophageal variceal bleeding is effective, safe, easy to operate.