1病例资料女,50岁。因食管癌行开胸食管癌切除、食管胃胸膜顶吻合术。术后4d无明显不适,体温正常,摄床旁X线胸片未见积气、积液,双肺膨胀好,拔除胸腔引流管,术后6d拔除胃管,开始进流食。术后7d出现胸部胀痛、呼吸急促、烦躁不安及心悸等不适症状,不能平卧,无呕吐。查体:体温39 1 case information Female, 50 years old. Esophageal cancer due to open thoracotomy esophageal cancer, esophagogastric pleural anastomosis. No significant discomfort 4d after surgery, body temperature was normal, no bedside X-ray chest gas, effusion, lung expansion, removal of the chest drainage tube, 6d after removal of the gastric tube began to feed into the stream. 7d postoperative chest pain, shortness of breath, irritability and palpitations and other symptoms, can not lie down, no vomiting. Physical examination: body temperature 39