目的:研究71例肝硬化非静脉曲张破裂出血的特点和内科治疗效果。方法:对住院经急诊内镜确诊的71例肝硬化非静脉曲张破裂出血患者的临床资料进行总结分析。结果:非静脉曲张破裂出血占全部肝硬化上消化道出血的32.3％。以消化性溃汤和门脉高压性胃病并出血为主要原因者占80.3％;以中等量出血为多,占46.5％。出血量的多少和肝功能Child-Pagh分级有关。内科综合治疗的止血率为88.7％。结论:非静脉曲张破裂出血在肝硬化上消化道出血中占有相当比例。急诊内镜检查对明确出血病因有重要意义。内科综合治疗有较好的止血效果。 Objective: To study the characteristics and medical treatment of 71 patients with cirrhosis and non-variceal bleeding. Methods: The clinical data of 71 patients with cirrhosis and non-variceal bleeding confirmed by endoscopic emergency diagnosis were analyzed. Results: Non-variceal hemorrhage accounted for 32.3% of all cirrhosis patients with upper gastrointestinal bleeding. To digestive ulcer and portal hypertensive gastropathy and bleeding as the main reason accounted for 80.3%; to moderately more bleeding, accounting for 46.5%. The amount of bleeding and liver function Child-Pagh classification. Internal medicine hemostasis rate was 88.7%. Conclusion: Non-variceal hemorrhage accounts for a significant proportion of upper gastrointestinal bleeding in cirrhosis. Emergency endoscopy for the diagnosis of etiology is of great significance. Comprehensive medical treatment has a better hemostatic effect.