临床资料例1,女,65岁。因进行性吞咽困难9个月余伴发热3 d入院。胸部CT提示两肺下叶炎性改变,食管中段占位。门诊胃镜检查见食管中段内壁不规则隆起,考虑食管鳞癌。入院后查体未发现阳性体征。予以抗炎、化痰等处理,CT复查肺炎明显吸收。气管内插管静脉复合全身麻醉下行食管癌根治术,主动脉弓上食管胃机械吻合。术中探查肿瘤位于主动脉弓下,病变长约5 cm,无明显外侵。术后给予抗 Clinical data example 1, female, 65 years old. Due to progressive dysphagia more than 9 months with fever 3 d admission. Chest CT prompted inflammatory changes in the lower lobe of both lungs, mid-esophageal space. Outpatient gastroscopy see the middle of the esophagus irregular bulge, consider esophageal squamous cell carcinoma. Physical examination found no positive signs after admission. To be anti-inflammatory, phlegm and other treatment, CT review pneumonia was significantly absorbed. Endotracheal intubation combined with general anesthesia for esophageal cancer radical surgery, esophageal and gastric aortic arch mechanical anastomosis. Surgical exploration of the tumor located in the aortic arch, the lesion about 5 cm, no significant invasion. Anti-postoperative