胸内吻合口瘘是食管贲门癌术后的严重并发症,其死亡率约50%。本组报告23例食管贲门癌术后吻合口瘘的治疗,全组死亡5例,死亡率为21.7%。作者认为影响吻合口瘘愈合的主要因素是:严重的纵隔及胸腔炎症和病人严重的营养不良。积极控制纵隔及胸腔炎症是治疗的关键,禁食并加强静脉高营养是促使吻合口瘘愈令的物质基础。 Thoracic anastomotic fistula is a serious complication of postoperative esophageal cardiac cancer, and its mortality rate is about 50%. The group reported 23 cases of esophageal and cardiac cancer after anastomotic fistula treatment, the entire group died in 5 cases, the mortality rate was 21.7%. The authors believe that the main factors affecting the healing of anastomotic leakage are severe mediastinal and thoracic inflammation and severe malnutrition in patients. Active control of mediastinal and thoracic inflammation is the key to treatment. Fasting and strengthening venous hypertrophy are the material basis for the recovery of anastomoses.