门脉高压伴发食管或/和胃底静脉曲张出血是急性上消化道出血常见原因之一,其病势危险,病死率高。治疗时应注意下述问题。一、必须及时确定出血部位:对门脉性肝硬变所致上消化道出血,应进一步明确出血部位,尽管某些病例确有食管或/和胃底静脉曲张,但非出血确切部位。出血原因常为出血性胃炎或消化性溃疡。文献介绍门脉高压而无曲张静脉出血者占30～ Portal hypertension with esophageal or / and gastric variceal bleeding is one of the common causes of acute upper gastrointestinal bleeding, its risk and mortality. The treatment should pay attention to the following questions. First, we must promptly determine the site of bleeding: portal hypertension caused by upper gastrointestinal bleeding, bleeding should be further clear location, although some cases do have esophageal or / and gastric varices, but the exact site of non-hemorrhage. Bleeding causes often hemorrhagic gastritis or peptic ulcer. Literature describes portal hypertension without varicose vein bleeding accounted for 30 ~