食管血肿(esophageal hematoma,HE)作为上消化道出血的罕见原因,是临床上少见的一种急危、重症疾病,需引起临床医生的重视,避免漏诊、误诊,以免给患者带来不必要的治疗及过度的经济负担。1 HE发病机制HE也称食管黏膜下血肿,是临床上引起上消化道出血罕见的一种病因,长期以来未被人们认识,其命名至今尚未统一,直至1968年Marks和Keet[1]首次报道后才引起医师同道的注意,报道的 As a rare cause of upper gastrointestinal bleeding, esophageal hematoma (HE) is a rare and critically ill disease in clinic and needs clinicians’ attention to avoid misdiagnosis and missed diagnosis so as to avoid unnecessary Treatment and excessive financial burden. HE pathogenesis HE, also known as esophageal submucosal hematoma, is a clinically cause of upper gastrointestinal bleeding is a rare cause, has long been unknown, its name has not been unified until 1968, Marks and Keet [1] first reported After aroused physician fellow attention, reported