患者,男48岁,因反复胸骨后疼痛,伴进食梗阻感1年,于1993年5月20日入外院治疗。同月22日作胃镜检查,示食管下端有一1.0×1.2cm的大溃疡,周围粘膜充血、水肿、表面附有白苔及食糜。拟食管Ca?予食管下端切除,弓下食管胃吻合术。术后病理切片提示,溃疡坏死组织,伴炎性细胞侵润,排除食管Ca。术后3月患者又感胸骨后疼痛,伴返酸,即来本院就诊。查体:神清,心肺未见异常,腹平软,无压 The patient, male, 48 years old, was treated for recurrent sternal pain with obsessive-companied senility for 1 year on May 20, 1993. The same month on the 22th for gastroscopy, showing a 1.0 × 1.2cm large ulcer at the lower end of the esophagus, mucosal congestion around the edema, the surface with white moss and chyme. To be esophageal Ca? To the lower end of the esophagus resection, esophageal and bow anastomosis. Postoperative pathology tips, ulcer necrosis, with infiltration of inflammatory cells, excluding esophageal Ca. 3 months after the patient felt chest pain, with acid back, that is to our hospital. Physical examination: God clear, no abnormal heart and lung, abdominal soft, no pressure