患者男,24岁。进食烤馒头4小时后,自觉咽部不适,胸骨后痛,继而吐出白色管状物、少量鲜血和血凝块。查体:血压和脉搏均正常。心、肺、腹部检查无异常发现。检查吐出物为白色、半透明管状,一端呈喇叭口状,长23cm。病理报告为食管粘膜组织(仅为鳞状上皮)。诊断为表层脱落性食管炎。禁食水,补液,应用抗生素。1周后病人进流食,10天后食管造影报告为正常食管,病人进食无不适感,痊愈出院。 Male patient, 24 years old. Four hours after eating the baked steamed buns, they felt conscious of the throat, suffered a back pain in the sternum, and then spit out a white tube, a small amount of blood, and a blood clot. Physical examination: Blood pressure and pulse are normal. There was no abnormality in heart, lung and abdominal examination. The sputum was examined as a white, translucent tube with a bell mouth at one end and a length of 23 cm. Pathology reported as esophageal mucosal tissue (only squamous epithelium). Diagnosed as superficial exfoliative esophagitis. Fasting water, rehydration, antibiotics. One week later, the patient was ingested with liquid food. After 10 days, the esophagogram was reported as a normal esophagus. The patient did not feel uncomfortable eating and he was discharged.