患者，男，64岁。夜间睡眠中突发左上腹和左胸部剧痛，呼吸困难，胸部X线片示：左侧液气胸，考虑为自发性食管破裂，口服钡剂X线造影，造影剂无外溢。，＄者半年前曾在我院行胃癌根治术（毕Ⅱ，结肠前吻合）。因未确诊行胸腔闭式引流术，第2天胸管内有食物残渣，口服美蓝后从引 Patient, male, 64 years old. Nighttime sleep sudden left upper quadrant and left chest pain, difficulty breathing, chest X-ray showed: left liquid pneumothorax, consider spontaneous esophageal rupture, oral barium X-ray contrast, contrast agent no spill. , $ Who had radical gastrectomy in our hospital six months ago (completed Ⅱ, anastomosis before the colon). Because of no diagnosis of thoracic closure drainage, the first 2 days of food waste in the chest tube, after taking the United States blue from the lead