食管曲张静脉破裂出血是上消化道出血的常见原因，起病急，出血量大，止血治疗难度高，我院自1998年1月~2000年1月联合应用食管曲张静脉结扎和善得定治疗急性曲张静脉出血，疗效较好，报告如下。1 临床资料1.1 病例选择经急诊内镜确诊为食管曲张静脉出血患者42例，其中男36例， Esophageal variceal bleeding is a common cause of upper gastrointestinal bleeding, acute onset, large amount of bleeding, hemostasis is difficult to treat, our hospital from January 1998 to January 2000 combined application of esophageal varicose vein ligation and good set to treat acute Varicose vein bleeding, the effect is better, the report is as follows. 1 Clinical data 1.1 Case Selection Emergency endoscopy diagnosed as esophageal variceal bleeding in 42 patients, including 36 males,