本文内镜下硬化治疗食管静脉曲张出血２３例，安全可靠。１９例观察半年以上，仅１例术后２个月复发再出血死亡，近期止血有效率９４７３％。认为：硬化疗法是目前治疗食管静脉曲张出血较有效的手段之一，特别适用于脾切除后或脾切除十分流术后再出血和防止再出血，可弥补外科手术之不足；用乙氧硬化醇硬化治疗，止血效果好，并发症少；操作要求轻巧熟练，注意手法，可减少并发症的发生 This article endoscopic sclerotherapy of esophageal variceal bleeding in 23 cases, safe and reliable. 19 cases observed more than six months, only 1 case of recurrence and bleeding after 2 months of death, the recent hemostasis effective rate of 94  73%. It is concluded that sclerotherapy is one of the most effective methods to treat esophageal variceal bleeding at present. It is especially suitable for rebleeding after splenectomy or splenectomy and preventing bleeding again, which can make up for the shortage of surgery. Sclerotherapy, hemostatic effect is good, less complications; operation requires light and skilled, pay attention to practices, can reduce the incidence of complications