目的探讨老年食管癌合并肺功能异常及糖尿病术后发生吻合口瘘监护。方法回顾性分析33例老年食管癌合并肺功能异常及糖尿病术后吻合瘘的发生情况。结果 33例患者中,28例较平稳渡过手术期,2例术后并发吻合口瘘及肺部感染,1例胸部伤口裂开,2例肺部感染。结论充分了解病情,加强围手术期的监护是提高救治水平的关键。 Objective To investigate the elderly esophageal cancer with pulmonary dysfunction and diabetes anastomotic leakage after fistula care. Methods The incidence of anastomotic fistula in 33 elderly patients with esophageal cancer complicated with pulmonary dysfunction and diabetes mellitus was retrospectively analyzed. Results Of the 33 patients, 28 were smoother, 2 were complicated with anastomotic fistula and lung infection, 1 were thoracic wounds and 2 were pulmonary infections. Conclusion To fully understand the condition and to strengthen the perioperative guardianship is the key to improve the level of treatment.