Abstract: Objective To explore the clinical experience of the multiple nursing intervention and the table tennis?nose fixed Sengstaken?Blakemore tube in the treatment of the esophageal and gastric varices bleeding. Methods Retrospective analysis in January 2010 to December 2015 was performed in 50 patients with the vein varicose rupture hemorrhage at esophagus stomach bottom. After the success of Sengstaken?Blakemore tube catheter，the modified table tennis?nasal fixation was used for hemostasis. Results Of 50 patients，47 patients were successful catheter placement ，the failure of the catheter in 3 cases. There was no obvious nasal compression injury and abnormal performance such as trouble breath? ing. Conclusion The improved table tennis?nose fixed Sengstaken?Blakemore tube is effective ，and the operation is simple，easy to care，and with high patient acceptance.

Key words: esophageal and gastric varices bleeding, Sengstaken?Blakemore tube, improved table tennis?nose fixation

摘要： 目的 探讨多重护理干预插管及采用乒乓球——鼻固定三腔二囊管在治疗食管胃底静脉曲张破裂出血中的临床应用体会。方法 回顾性分析2010年1月至2015年12月收治的50例食管胃底静脉曲张破裂出血的患者，置管成功后，采用改良的乒乓球——鼻固定三腔二囊管进行压迫止血。结果 50例患者中47例患者顺利置管，3例置管失败；43例止血效果明显，3例止血效果良好，4例止血效果差，没有出现明显的鼻部压迫损伤和影响呼吸的异常表现。结论 改良的乒乓球——鼻固定三腔二囊管有效，且操作简单、容易护理、患者接受程度高。

关键词: 食管胃底静脉曲张破裂出血, 三腔二囊管, 改良乒乓球—鼻固定