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有慢性阻塞性疾病（COPD）的食管癌，肺功能对手术的选择可作客现判断，时间肺活量是重要参数，但不能预测术后肺功能不全，必须结合具体情况作客观分析，COPD者有过多次自发性气胸，肺气肿明显，肺大泡弥散分布，肺间质纤维化明显，放射治疗后都易发生急性呼吸衰竭，术前控制呼吸道感染及支气管痉挛是减少术后并发症的关键，早期辨认并及时处理各类并发症有助于预防及抢救急性呼吸衰竭，呼气末正压辅助呼吸加血管扩张剂硝普钠，在预防及治疗本组急性呼吸衰竭时效果良好。
In patients with esophageal cancer with chronic obstructive disease (COPD), lung function can be judged by the choice of surgery. Time vital capacity is an important parameter, but it cannot predict postoperative pulmonary insufficiency and must be analyzed objectively in light of specific conditions. COPD has had Multiple spontaneous pneumothorax, emphysema, diffuse distribution of pulmonary bulla, pulmonary interstitial fibrosis, acute respiratory failure after radiotherapy, preoperative control of respiratory tract infections and bronchospasm is the key to reduce postoperative complications , Early identification and timely treatment of various complications can help prevent and rescue acute respiratory failure. Positive end-expiratory pressure assisted respiration plus vasodilator sodium nitroprusside is effective in preventing and treating acute respiratory failure in this group.