患者男,59岁。因进食噎、呕吐三月余逐渐加重,在某医学院经X线检查诊断为贲门癌。全麻下开胸探查,贲门及胃底部未见肿物,贲门和食管下段有5cm长肌层明显肥厚,质较硬,管腔明显变窄。行Heller氏手术。术后诊断:贲门痉挛。术后追问病史,患者每遇精神刺激即饮食噎,呕 Male patient, 59 years old. Due to eating vomiting and vomiting gradually worsening in March, a medical school was diagnosed with cardiac cancer by X-ray examination. Under general anesthesia, the thoracotomy was explored. There was no mass at the fontanelle and stomach bottom. The 5cm long muscle layer in the lower part of the cardia and esophagus was obviously hypertrophic. The mass was hard and the lumen was narrowed. Heller’s surgery. Postoperative diagnosis: squat. After a patient’s medical history, every patient’s mental stimulation is dietary vomiting and vomiting.