Abstract: Objective To explore the clinical effect of triple-lumen and two-capsule catheter assisted by emergency endoscopy in the treatment of ruptured esophageal and gastric varices bleeding with hemorrhagic shock during mechanical ventilation. Methods fifteen patients with ruptured esophageal and gastric varices bleeding admitted in our hospital from May 2017 to March 2019 were selected as the research objects. Results in 15 patients with hemorrhagic shock, endoscopic hemostasis or insertion of the three-chamber and two-sac tubes during mechanical ventilation failed. insertion of triple-lumen and two-capsule catheter assisted by emergency endoscopy was successful. The hemostatic effect was definite in 12 cases. 1 cases were successfully treated with emergency Tips to stop the bleeding when their condition was stable. 2 cases died clinically. Conclusion The treatment of ruptured esophageal and gastric varices bleeding with triple-lumen and two-capsule catheter assisted by emergency endoscopy has a high success rate,the hemostatic effect is definite, it can be popularized and implemented in clinic.

Key words: Esophageal and gastric varices, Triple-lumen and two-capsule catheter, Emergency endoscopy