1, for patients with emergency portal hypertension hemorrhage usually not treated urgently, three lumen two-bladder tube compression within 24-48h elective endoscopic treatment, within the time of compression transfusion, albumin, drug hemostasis to maintain Hb7.5-8 or more, albumin 30g/L or more; 2, before the use of three lumen two-bladder tube should measure the esophageal bursa, gastric bursa of each use parameters, to facilitate the use of direct use in accordance with the parameters. Before use, empty the gastric sac, esophageal sac and the fixed small sac under the gastric sac (some manufacturers do not have), use olive oil lubrication (using paraffin oil may rupture the air sac), let the patient take a mouthful of olive oil, go up to about 45cm from the nostril after (measure the tip of the nose to the earlobe, the tip of the nose to the glabella), draw out the guidewire, clamp the access of gastric lavage and esophageal lavage with hemostatic forceps, pump the gastric sac diameter 8-10cm (300- 400ml, 36-40mmHg), pull to about 35cm from the nostril (to have greater resistance), tape fixed (so that the nasal cavity deformation) or hanging 500g weight, see the effect, such as still bleeding, play esophageal sac 2-3cm (80-100ml, 25-35mmHg); 3, immediate gastric lavage, ice saline, the liquid in the stomach for clear water or light red meat wash clear liquid, with ice water norepinephrine (100ml+8mg, 100-200ml reserved for gavage); 4, repeat the above operation every 4-8 hours. Select the interval when the fluid in the stomach is clear water or light red as the best time for endoscopic treatment.