Treatment: Phase I: Hemostatic treatment: The patient was in the decompensated stage of cirrhosis, combined with upper gastrointestinal bleeding, with a large amount of bleeding and in a dangerous condition. After admission, the patient was given comprehensive treatment including active volume expansion, fluid replacement, hemostasis, reduction of portal pressure and anti-infection, and the bleeding was controlled. After the bleeding stopped, the patient was advised to undergo endoscopic examination and bleeding prevention surgery, but the patient was initially apprehensive and resistant to endoscopic examination and treatment, and insisted on not agreeing to surgical bleeding prevention. After repeated communication, the patient agreed to gastroscopy, which indicated severe esophagogastric varices with positive red sign and high chance of rebleeding and high risk. After completing abdominal CT angiography, the patient had no venous emboli and had indications for prevention of rebleeding. After gastroenterology consultation, the patient successfully completed gastroscopic sclerotherapy, regular review, and several times of gastroscopic consolidation therapy.