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患者男,65岁,因进热食后出现吞咽疼痛、困难,上腹部不适4个月,于1984午11月20日在我院行胃镜检查,发现距门齿35cm食管后壁有0.8×1.0m出血面,管腔无狭窄。胃及十二指肠无活动性病变。当镜头退至食管下段时,患者突然咳嗽,继之出现胸、颈、面部皮下气肿,并有气促、咳嗽等症状,次日摄胸片示广泛皮下气肿、纵隔气肿。3周后钡餐检查为食管纵隔瘘。复查胃镜见食管下段后壁粘膜粗糙、
Male, 65 years old, because of swallowing into the hot food after eating pain, difficulty, upper abdominal discomfort for 4 months, on November 20, 1984 in our hospital gastroscopy and found that behind the incisors 35cm esophageal wall 0.8 × 1.0m Bleeding surface, the lumen without stenosis. No movement of the stomach and duodenal lesions. When the lens retreated to the lower esophagus, the patient suddenly cough, followed by thoracic, cervical and facial subcutaneous emphysema, and shortness of breath, cough and other symptoms, the next day showed extensive subcutaneous emphysema chest radiograph, mediastinal emphysema. Three weeks after the barium meal examination for esophageal mediastinal fistula. Review of gastroscopy see esophageal mucosa rough wall,