Liver cirrhosis with increasingly low platelet counts indicates that the condition is becoming more severe. This decline in platelets suggests a more advanced stage of liver cirrhosis, manifesting as significant splenic hyperfunction and splenomegaly. Patients with liver cirrhosis and decreasing platelets may experience spontaneous bleeding, which requires attention. If necessary, surgical intervention such as splenectomy or splenic embolization may be required, along with platelet transfusion treatment. For complications associated with liver cirrhosis, further refinements in gastroscopic examination are needed to determine the presence of portal hypertensive gastropathy or esophagogastric varices. If varices are present, prophylactic banding or sclerotherapy may be needed.