目的：总结食管破裂的临床特征及治疗方法从而提高该病的诊疗水平。方法：收集2016年至2021年收治的28例食管破裂患者临床资料。结果：28例食管破裂患者，住院时间14-63天，手术治疗23例，保守治疗5例，26例治愈出院，死亡2例。结论：手术修补是治疗早期自发性食管破裂的首选方法，异物引起的食管破裂以保守治疗为主，营养支持、充分引流和控制感染是治疗的根本方法。

Objective: To summarize the clinical characteristics and treatment of esophageal rupture, so as to improve the diagnosis and treatment level of the disease. Methods: the clinical data of 28 patients with esophageal rupture from 2016 to 2021 were collected. Results: 28 patients with esophageal rupture were hospitalized for 14-63 days, 23 cases were treated surgically, 5 cases were treated conservatively, 26 cases were cured and 2 cases died.Conclusion:Surgical repair is the first choice for the treatment of early spontaneous esophageal rupture. Conservative treatment is the main method for esophageal rupture caused by foreign bodies. Nutritional support, adequate drainage and infection control are the fundamental methods of treatment.

国家自然基金 ，内蒙古自然基金