我院自采用食管机械吻合器后,食管癌术后并发吻合口瘘的发生率已明显下降,而急性呼吸衰竭已成为主要的并发症,治疗困难,死亡率高。1989年7月～1996年6月间,我院共行食管癌、贲门癌根治手术143例,术后并发急性胃扩张1例,吻合口瘘4例（3例颈部手工吻合,1例左胸膜顶机械吻合）,而发生急性呼吸 In our hospital since the use of esophageal mechanical stapler, the incidence of anastomotic leakage after esophageal cancer has decreased significantly, and acute respiratory failure has become a major complication, difficult treatment, high mortality. From July 1989 to June 1996, a total of 143 cases of esophageal and cardiac cancers were treated in our hospital. There was one case of acute gastric dilatation after operation and four cases of anastomotic leakage (three cases of manual anastomosis of the neck and one case of left Pleural top mechanical anastomosis) and acute respiratory