本文对７６例肝硬化合并上消化道出血的患者均在发病４８ｈ内做胃镜检查。结果：食管静脉曲张为唯一出血原因者５２例，占６８．４％；其他出血原因为胃溃疡、十二指肠球部溃疡、糜烂性胃炎，７６例中４８例合并胃粘膜病变，占６３．２％。结果表明：肝硬化患者胃粘膜病变、消化性溃疡发生率较高，在治疗门脉高压出血时，除考虑曲张静脉破裂出血外，还应对消化性溃疡及胃粘膜病变引起的出血予以重视。 In this paper, 76 patients with cirrhosis complicated with upper gastrointestinal bleeding were diagnosed within 48 hours of onset of gastroscopy. Results: Esophageal varices was the only cause of bleeding in 52 cases (68.4%); other causes of bleeding were gastric ulcer, duodenal ulcer, erosive gastritis, and gastric mucosal lesions in 48 of 76 .2%. The results showed that the incidence of gastric mucosal lesions and peptic ulcer in patients with cirrhosis was high. In the treatment of portal hypertension hemorrhage, in addition to considering variceal bleeding, but also deal with peptic ulcer and bleeding caused by gastric mucosal lesions should be paid attention to.