病人，男，教师，45岁，因进行性吞咽困难而确诊食管瘤入院行放射治疗，放疗过程中吞咽阻挡感逐渐消失，在放疗即将结束时出现吞咽困难加重，胸骨后疼痛、疼痛向颈部放射。伴有高热、寒战，病人烦躁不安。查体：颈部肿胀，胸骨压痛，纵隔浊音界轻度扩大，血常规示白细胞及中性 Patient, male, and teacher, 45 years old, diagnosed with esophageal cancer because of progressive dysphagia and received radiation therapy. The swallowing sensation gradually disappeared during radiotherapy. Difficulty in swallowing was aggravated at the end of radiotherapy. Back pain and pain to the neck radiation. With high fever and chills, the patient was restless. Physical examination: Swelling of the neck, tenderness of the sternum, slight expansion of mediastinal voiced circles, blood routines showing white blood cells and neutrality