目的 开展肝硬化食管胃静脉曲张破裂出血患者救护管理方案的优化实践。方法 成立多学科救护小组,分析救护过程中存在的问题,从紧急病情评估和护理、容量复苏、急诊药物止血、内镜止血、急诊转运多方面优化举措,并进行质量控制,在急诊科开展实践。结果 15例患者均止血成功,住院时间为（7.73±3.13） d,较文献报告的肝硬化食管胃底静脉曲张出血胃镜治疗患者的住院时间（12.50±2.50） d明显缩短。结论 优化肝硬化食管胃静脉曲张破裂出血患者救护管理方案有助于缩短患者住院时间。
Objective To carry out the practice of optimized rescue and nursing management plan for patients with esophagogastric variceal bleeding in liver cirrhosis. Methods A multidisciplinary rescue and nursing team was established,the problems in the rescue process was analyzed,and the measures was optimized from emergency condition assessment and nursing,volume resuscitation,emergency drug hemostasis,endoscopic hemostasis,emergency transport,and quality control was carried out and the management plan was practiced in the emergency department. Results Hemostasis was successful in all 15 patients. The length of hospital stay was （7.73±3.13） days,which was significantly shorter than that of patients with esophagogastric variceal bleeding in liver cirrhosis reported in the literature（12.5±2.5） days. Conclusion Optimizing the rescue and nursing management plan for patients with esophagogastric variceal bleeding in liver cirrhosis can shorten the hospital stay length of patients.
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