自发性食管破裂是一种严重威胁病人生命的外科疾病 ,较少见 ,其误诊率及死亡率极高[1 ] 。为加深对本病的认识 ,复习我院收治的 4例 ,分析报告如下。1　资料与方法1.1　临床资料　 4例均为男性 ,年龄 43～ 5 9岁。表现为进食后剧烈呕吐伴胸闷及剧烈胸痛 3例。 1例无明显诱因出 Spontaneous rupture of esophagus is a serious surgical disease that threatens the life of the patient, which is rare and has a high rate of misdiagnosis and death [1]. In order to deepen the understanding of this disease, review our hospital for 4 cases, the analysis report is as follows. 1 Materials and Methods 1.1 Clinical data 4 cases were male, aged 43 to 59 years. The performance of severe vomiting after eating with chest tightness and severe chest pain in 3 cases. 1 case no obvious incentive