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1976年10月～1993年12月共收治食管异物合并胸内大动脉食管瘘5例，其中胸主动脉食管瘘4例，行手术和非手术治疗各2例，均死亡；左锁骨下动脉食管瘘1例，经左胸行锁骨下动脉结扎术加纤维食管镜取出异物成功。随访5年健在并参加正常劳动。结合国内和1980年前的国外文献已报告的174例，死亡169例（97.2％），存活5例，再结合分析作者成功救治1例的结果，认为尽早明确诊断，果断地实施开胸手术，并根据瘘口的位置、大小、炎症的范围和程度，采用不同的术式，是有希望提高治愈率的。
From October 1976 to December 1993, 5 cases of esophageal fistula with intrathoracic aorta were treated with esophageal foreign body, including 4 cases of thoracic aortic esophageal fistula. Two cases were treated surgically and non-surgically and both died. The left subclavian artery esophageal fistula In 1 case, the left thoracic subclavian artery ligation plus fiber esophagoscopy removed the foreign body successfully. After 5 years of staying healthy and participating in normal work. 174 cases (97.2%) and 5 cases of survival have been reported in China and abroad before 1980.According to the successful treatment of one case, the author believes that as early as possible, a clear diagnosis and decisive implementation of thoracotomy, According to the fistula position, size, extent and extent of inflammation, the use of different surgical procedures, there is hope to improve the cure rate.