我院自 1985年 1月 - 2 0 0 2年 12月共施行各期食管、贲门癌手术 183例 ,术后发生胸腹腔出血 4例 ,现报告如下。1　临床资料食管癌 3例 ,贲门癌 1例 ,均行胃代食管术 ,均为弓下吻合。出血时间发生在术后 1h～ 4 8h ,出血量 15 0 0 m L～35 0 0 m L ,平均 2 4 0 0 m L ,胸腔出 Our hospital from January 1985 -2002 in December a total of 183 cases of esophageal and cardiac surgery, postoperative thoracic and abdominal bleeding in 4 cases, are as follows. 1 clinical data of esophageal cancer in 3 cases, 1 case of cardiac cancer, gastric esophageal surgery were performed under the arch anastomosis. Bleeding time occurred in 1h ~ 48h after surgery, the amount of bleeding 15 0 0 m L ~ 35 0 0 m L, an average of 240 m L, chest out