病人男性，44岁，因吞咽阻挡感3个月在我院行食管钡剂造影，发现病人为颈段食管癌，病变范围3cm，后又到外地医院行内窥镜检查，发生医源性食管穿孔，病人胸痛，高热。再次钡剂造影见穿孔大小约0．7cm，钡剂溢入后纵隔，病人纵隔炎明显。入院后给予禁食、抗感染、支持疗法等综 The patient was a 44-year-old male patient who had undergone esophageal barium angiography in our hospital for 3 months due to swallowing sensation and found that the patient had cervical esophageal cancer with a lesion size of 3 cm. He later went to a foreign hospital for endoscopy and iatrogenic esophageal perforation occurred. The patient had chest pain and high fever. The thickness of the perforation was about 0.7cm again in the barium angiography. The barium spilled into the posterior mediastinum and the patient had mediastinal inflammation. After admission, fasting, anti-infection and supportive therapy are given