病人，男，５６岁。进行性吞咽困难２个月。食管钡餐示食管中段长约５ｃｍ不规则狭窄；纤维食管镜检查并活检病理示食管中段中分化鳞癌；胸片及心电图正常。在全麻气管插管下行左侧剖胸探查术。术中发现肿瘤外侵明显，游离肿瘤时左肺下静脉破裂，急性出血约１０００ｍｌ，... Patient, male, 56 years old. Progressive dysphagia 2 months. The esophageal barium meal showed that the length of the middle part of the esophagus was irregular and narrow; fiberoptic esophagoscopy and biopsy pathology showed differentiated squamous cell carcinoma in the middle esophagus; chest radiograph and electrocardiogram were normal. Tracheotomy in the left side of the general anesthesia tracheal intubation. Intraoperative invasion of the tumor was found to be obvious, the left lower pulmonary vein ruptured when the tumor was free, acute bleeding was about 1000ml,...