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食管贲门癌切除术后应激性溃疡是一种十分少见且凶险的并发症。在过去的20年里，我科曾发生9例，发生率为0．12％（9／7454）。其中6例采用保守治疗，有3例死亡，3例治愈。另外3例采用手术治疗而均治愈。对于手术当日发生上消化道出血者应与术中止血不彻底造成的出血相鉴别，对于术后晚期发生的出血应与吻合口大动脉瘘相鉴别。关于应激性溃疡的发生机理目前尚不十分清楚。治疗原则是先保守治疗，无效者及时手术。
Stress ulcer after resection of esophageal and cardiac cancer is a very rare and dangerous complication. In the past 20 years, 9 cases have occurred in our department with an incidence rate of 0.12% (9/7454). Among them, 6 cases were treated conservatively, 3 cases died and 3 cases were cured. The other 3 cases were cured by surgical treatment. The occurrence of upper gastrointestinal bleeding on the day of surgery should be differentiated from bleeding caused by incomplete intraoperative hemostasis. Hemorrhage occurred late in the postoperative period should be differentiated from anastomotic aortic fistula. The mechanism of stress ulcers is not yet clear. The principle of treatment is conservative treatment first, ineffective surgery in time.