1965年1月至1994年12月,我科共收治食管异物350例.其中7例均因并发主动脉食管瘘反复大出血死亡.为给临床提供借鉴,现报告如下.1 临床资料7例中,男5例,女2例;年龄15～53岁,平均32岁.致病异物为鱼刺5例,螃蟹壳1例,鸭骨1例.异物梗住后均有强吞食团、欲将异物推入胃内.发病后都有胸骨后疼痛,并放射至背部,发烧,吞咽困难;及至出现呕血或黑便才就诊.发病至就诊时间5～11天.平均8天.入院时病情危重,2例在急诊室已有气急、胸闷、胸骨后剧痛及大量呕血;另5例进病房后仍有反复呕血.胸透示纵隔增宽,主动脉弓呈假性动脉瘤样.白细胞数增多及左移.经抗生素及补液、输血等处理,其中5例因大量呕血未来得及手术死亡;另2例请胸外科协同抢救,其中1例术中发现 From January 1965 to December 1994, our department received a total of 350 cases of esophageal foreign body, of which 7 cases were complicated by aortic esophageal fistula repeated bleeding died of. To provide clinical reference, are reported as follows.1 Clinical data 7 cases, There were 5 males and 2 females, aged from 15 to 53 years (average 32 years old) .The pathogenic foreign bodies were fishbone in 5 cases, crab shell in 1 case and duck bone in 1 case. Into the stomach .After the onset of chest pain, and radiate to the back, fever, difficulty swallowing; and to appear vomiting or melena only treatment .From the treatment time of 5 to 11 days .On average 8 days admitted to critical condition, 2 Cases of acute urgency in the emergency room, chest tightness, chest pain and a lot of vomiting after sternal; the other five cases into the ward there are still repeated vomiting .There was a widened mediastinoscopy, aortic arch was false aneurysm-like .When the white blood cell count and left .Through the antibiotics and rehydration, blood transfusion and other treatment, of which 5 cases due to massive hematemesis in the future surgery died; the other 2 cases of thoracic surgery rescue, including 1 case of intraoperative findings